| Entity Name: | PALM BEACH SPINE AND SPORT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2020 (5 years ago) |
| Document Number: | L20000054467 |
| FEI/EIN Number | 84-4864390 |
| Address: | 5801 S DIXIE HIGHWAY, WEST PALM BEACH, FL, 33405 |
| Mail Address: | 5801 S DIXIE HIGHWAY, WEST PALM BEACH, FL, 33405, US |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447885793 | 2020-03-06 | 2020-03-06 | 5801 S DIXIE HWY STE A, WEST PALM BEACH, FL, 334053651, US | 5801 S DIXIE HWY STE A, WEST PALM BEACH, FL, 334053651, US | |||||||||||||
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| Phone | +1 561-308-7145 |
Authorized person
| Name | DR. ABANOUB BOUTROS |
| Role | OWNER |
| Phone | 5613087145 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOUTROS ABANOUB | Agent | 220 FORDHAM DRIVE, LAKE WORTH BEACH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| Boutros Abanoub | Authorized Member | 220 FORDHAM DRIVE, LAKE WORTH BEACH, FL, 33460 |
| Boutros Julia | Authorized Member | 220 FORDHAM DRIVE, LAKE WORTH BEACH, FL, 33460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | 220 FORDHAM DRIVE, LAKE WORTH BEACH, FL 33460 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-03 | 5801 S DIXIE HIGHWAY, WEST PALM BEACH, FL 33405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-03 |
| Florida Limited Liability | 2020-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
