| Entity Name: | LAKE WORTH SPINE AND REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Nov 2019 (5 years ago) |
| Document Number: | L19000278303 |
| FEI/EIN Number | 84-4082964 |
| Address: | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 |
| Mail Address: | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598369944 | 2020-11-25 | 2020-11-25 | 1926 10TH AVE N STE 410, LAKE WORTH BEACH, FL, 334613368, US | 1926 10TH AVE N STE 410, LAKE WORTH BEACH, FL, 334613368, US | |||||||||||||||
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| Phone | +1 561-600-5858 |
| Fax | 5616005878 |
Authorized person
| Name | DR. ANDREW SANDS |
| Role | MBR |
| Phone | 5616005858 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hochman, Brandon, Managing Member | Agent | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 |
| Name | Role | Address |
|---|---|---|
| HOCHMAN, BRANDON, Managing Member | Manager | 1926 10TH AVENUE NORTH, 410 LAKE WORTH, FL 33461 |
| Name | Role | Address |
|---|---|---|
| WEINER, LAWRENCE, Managing Member | Managing Member | 1926 10th Ave North, 410 Lake Worth, FL 33461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000137921 | FLORIDA SPINE AND REHAB | ACTIVE | 2021-10-13 | 2026-12-31 | No data | 1926 10TH AVENUE NORTH, STE 410, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-01 | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-01 | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-01 | Hochman, Brandon, Managing Member | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-01 | 1926 10TH AVENUE NORTH, SUITE 410, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-06-01 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-11-07 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
