| Entity Name: | SPACE COAST SPINE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 May 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000131393 |
| FEI/EIN Number | 84-1904916 |
| Address: | 1402 DUNLAWTON AVE., 2B, PORT ORANGE, FL, 32127 |
| Mail Address: | 690 BRANCH DRIVE, PORT ORANGE, FL, 32127 |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558911818 | 2019-09-18 | 2019-12-04 | 1402 DUNLAWTON AVE STE 2B, PORT ORANGE, FL, 321272917, US | 1402 DUNLAWTON AVE STE 2B, PORT ORANGE, FL, 321272917, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 386-227-6688 |
Authorized person
| Name | MICHAEL SAMBURSKY |
| Role | OWNER |
| Phone | 3862817900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMBURSKY MICHAEL | Agent | 690 BRANCH DRIVE, PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| SAMBURSKY MICHAEL | Manager | 690 BRANCH DRIVE, PORT ORANGE, FL, 32127 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000113474 | SPACE COAST CHIROPRACTIC | ACTIVE | 2020-09-01 | 2025-12-31 | No data | 99 OLD KINGS ROAD SOUTH, UNIT 4, FLAGLER BEACH, FL, 32136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-22 |
| Florida Limited Liability | 2019-05-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
