Search icon

RESTORATION SPINE AND SPORT, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
UHRIK, SARAH E, ESQ. Agent 1028 LAKE SUMTER LANDING, THE VILLAGES, FL 32162

Manager

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

Events

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

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

Date of last update: 16 Jan 2025

Sources: Florida Department of State