| Entity Name: | ELITE SPINAL CARE & REHAB CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2020 (4 years ago) |
| Document Number: | L20000386887 |
| FEI/EIN Number | 85-4311061 |
| Address: | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
| Mail Address: | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 32835, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558952226 | 2021-01-26 | 2021-01-26 | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 328353127, US | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 328353127, US | |||||||||||||||
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| Phone | +1 407-909-4788 |
| Fax | 4079091788 |
Authorized person
| Name | DR. GUILLERMO J NAZARIO NAZARIO |
| Role | OWNER/CHIROPRACTOR |
| Phone | 7875988601 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAZARIO NAZARIO GUILLERMO J | Agent | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| NAZARIO NAZARIO GUILLERMO J | Manager | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000005173 | MATTIA SPINAL CARE AND REHAB CENTER | ACTIVE | 2021-01-11 | 2026-12-31 | No data | 8915 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-22 | 8915 CONROY WINDERMERE RD, ORLANDO, FL 32835 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-01-22 |
| Florida Limited Liability | 2020-12-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
