| Entity Name: | BRAIN AND SPINE CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 May 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2023 (a year ago) |
| Document Number: | L19000126087 |
| FEI/EIN Number | 84-2417807 |
| Address: | 699 Seville Court, Satellite Beach, FL, 32937, US |
| Mail Address: | P.O. Box 372430, Satellite Beach, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962049163 | 2019-12-06 | 2024-08-06 | 1428 VALENTINE ST, MELBOURNE, FL, 329013130, US | 1428 VALENTINE ST, MELBOURNE, FL, 329013130, US | |||||||||||||||
|
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| Phone | +1 321-327-7797 |
| Fax | 3213277789 |
Authorized person
| Name | JACOB JANUSZEWSKI |
| Role | MANAGER |
| Phone | 3213277797 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FILE FLORIDA CO. | Agent | 7021 UNIVERSITY BLVD, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| Januszewski Jessica | Manager | P.O. Box 372430, Satellite Beach, FL, 32937 |
| Januszewski Jacob | Manager | P.O. Box 372430, Satellite Beach, FL, 32937 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000129121 | BRAIN AND COMPLEX SPINE CLINIC | EXPIRED | 2019-12-06 | 2024-12-31 | No data | 2065 HIGHWAY A1A, UNIT 1704, INDIAN HARBOUR BEACH, FL, 32937 |
| G19000129165 | BRAIN AND SPINE CLINIC | EXPIRED | 2019-12-06 | 2024-12-31 | No data | 2065 HIGHWAY A1A, UNIT 1704, INDIAN HARBOUR BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | 7021 UNIVERSITY BLVD, WINTER PARK, FL 32792 | No data |
| REINSTATEMENT | 2023-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-10 | 699 Seville Court, Satellite Beach, FL 32937 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-10 | 699 Seville Court, Satellite Beach, FL 32937 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-10 | FILE FLORIDA CO. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2020-01-16 | BRAIN AND SPINE CLINIC, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| REINSTATEMENT | 2023-10-10 |
| Reg. Agent Resignation | 2023-08-03 |
| ANNUAL REPORT | 2022-02-10 |
| AMENDED ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2021-02-20 |
| ANNUAL REPORT | 2020-01-18 |
| LC Amendment and Name Change | 2020-01-16 |
| Florida Limited Liability | 2019-05-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
