| Entity Name: | GULFSHORE SPINAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2020 (4 years ago) |
| Document Number: | L20000304889 |
| FEI/EIN Number | 853363072 |
| Address: | 5256 Summerlin Commons Way, Fort Myers, FL, 33907, US |
| Mail Address: | 5256 Summerlin Commons Way, Fort Myers, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528650363 | 2021-02-03 | 2021-02-03 | 5256 SUMMERLIN COMMONS WAY STE 204, FORT MYERS, FL, 339072147, US | 5256 SUMMERLIN COMMONS WAY STE 204, FORT MYERS, FL, 339072147, US | |||||||||||||||||||
|
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| Phone | +1 239-204-9987 |
Authorized person
| Name | DR. MICHAEL KNECHT |
| Role | OWNER/DOCTOR |
| Phone | 8105331455 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CHIROPRACTIC LICENSE |
| Number | CH11188 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KNECHT MICHAEL D | Agent | 3052 Royal Gardens Ave, Fort Myers, FL, 33916 |
| Name | Role | Address |
|---|---|---|
| KNECHT MICHAEL D | Authorized Member | 3052 Royal Gardens Ave, Fort Myers, FL, 33916 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000004264 | GULFSHORE SPINAL CARE | ACTIVE | 2021-01-09 | 2026-12-31 | No data | 5256 SUMMERLIN COMMONS WAY STE 204, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-30 | 3052 Royal Gardens Ave, Fort Myers, FL 33916 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-15 | 5256 Summerlin Commons Way, #204, Fort Myers, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-15 | 5256 Summerlin Commons Way, #204, Fort Myers, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-04-06 |
| Florida Limited Liability | 2020-09-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
