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RESTORATION SPINE AND SPORT, LLC - Florida Company Profile

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Company Details

Entity Name: RESTORATION SPINE AND SPORT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Feb 2020 (6 years ago)
Document Number: L20000044279
FEI/EIN Number 84-4730339
Mail Address: 1028 LAKE SUMTER LANDING, THE VILLAGES, FL, 32162
Address: 1217 W. Miller St., Fruitland Park, FL, 34731, US
ZIP code: 34731
City: Fruitland Park
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Uhrik Matt J Manager 34622 Buckingham Rd., Fruitland Park, FL, 34731
Uhrik Sarah E Manager 34622 Buckingham Rd., Fruitland Park, FL, 34731
UHRIK SARAH EESQ. Agent 1028 LAKE SUMTER LANDING, THE VILLAGES, FL, 32162

National Provider Identifier

NPI Number:
1104437078
Certification Date:
2023-12-06

Authorized Person:

Name:
DR. MATTHEW JOSEPH UHRIK
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3522600240

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-29 1217 W. Miller St., Suite 1, Fruitland Park, FL 34731 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-05-03
Florida Limited Liability 2020-02-13

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Date of last update: 03 Aug 2025

Sources: Florida Department of State