Entity Name: | RESTORATION SPINE AND SPORT, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 13 Feb 2020 (5 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., Suite 1, Fruitland Park, FL 34731 |
ZIP code: | 34731 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104437078 | 2020-08-13 | 2023-12-06 | 1217 W MILLER ST STE 1, FRUITLAND PARK, FL, 347313029, US | 1217 W MILLER ST STE 1, FRUITLAND PARK, FL, 347313029, US | |||||||||||||||||
|
Phone | +1 352-750-0277 |
Fax | 3522600240 |
Phone | +1 527-500-2773 |
Authorized person
Name | DR. MATTHEW JOSEPH UHRIK |
Role | OWNER/CHIROPRACTOR |
Phone | 8478948901 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
UHRIK, SARAH E, ESQ. | Agent | 1028 LAKE SUMTER LANDING, THE VILLAGES, FL 32162 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-29 | 1217 W. Miller St., Suite 1, Fruitland Park, FL 34731 | No data |
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 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State