| Entity Name: | ADVANCED SPINE & JOINT MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Oct 2019 (5 years ago) |
| Document Number: | L19000252381 |
| FEI/EIN Number | 84-3442963 |
| Address: | 208 NE 3RD AVE., OKEECHOBEE, FL, 34972, US |
| Mail Address: | 208 NE 3RD AVE., OKEECHOBEE, FL, 34972, US |
| ZIP code: | 34972 |
| County: | Okeechobee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972146868 | 2019-10-23 | 2020-08-04 | 208 NE 3RD AVE, OKEECHOBEE, FL, 349722961, US | 208 NE 3RD AVE, OKEECHOBEE, FL, 349722961, US | |||||||||||||
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| Phone | +1 863-763-4320 |
Authorized person
| Name | JENNIFER COOK |
| Role | OWNER |
| Phone | 8637634320 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Cook Jennifer ADr. | Agent | 208 NE 3RD AVE., OKEECHOBEE, FL, 34972 |
| Name | Role | Address |
|---|---|---|
| COOK JENNIFER DR. | Manager | 208 NE 3rd Avenue, Okeechobee, FL, 34972 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000081778 | ADVANCED EQUIPMENT | ACTIVE | 2023-07-11 | 2028-12-31 | No data | 208 NE 3RD AVE, OKEECHOBEE, FL, 34972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-24 | 208 NE 3RD AVE., OKEECHOBEE, FL 34972 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-24 | Cook, Jennifer A, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-24 | 208 NE 3RD AVE., OKEECHOBEE, FL 34972 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-03-24 |
| Florida Limited Liability | 2019-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
