| Entity Name: | SEASIDE SPINE MARY ESTHER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2021 (4 years ago) |
| Document Number: | L21000042528 |
| FEI/EIN Number | 86-1656102 |
| Address: | 208 MARY ESTHER BLVD, SUITE D, MARY ESTHER, FL, 32569 |
| Mail Address: | 208 Mary Esther Blvd, STE D, Mary Esther, FL, 32569, US |
| ZIP code: | 32569 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174113922 | 2021-01-25 | 2021-01-25 | 981 HIGHWAY 98 E STE 9, DESTIN, FL, 325412588, US | 208 MARY ESTHER BLVD, MARY ESTHER, FL, 325691687, US | |||||||||||||
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| Phone | +1 850-460-2362 |
Authorized person
| Name | ASHLYN KAYE NEWBY |
| Role | OPERATIONS MANAGER |
| Phone | 8504602362 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARBEE SAMUEL J | Agent | 49 Meigs Drive, Shalimar, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| Barbee Samuel J | Manager | 49 Meigs Drive, Shalimar, FL, 32579 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000091172 | SEASIDE SPINE | ACTIVE | 2024-07-31 | 2029-12-31 | No data | 208 MARY ESTHER BLVD, SUITE D, MARY ESTHER, FL, 32569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 49 Meigs Drive, Shalimar, FL 32579 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 208 MARY ESTHER BLVD, SUITE D, MARY ESTHER, FL 32569 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-25 |
| Florida Limited Liability | 2021-01-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
