| Entity Name: | OCEANSIDE INJURY PHYSICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Feb 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000083632 |
| FEI/EIN Number | 86-2316014 |
| Address: | 99 OLD KINGS RD S, FLAGLER BEACH, FL, 32136, US |
| Mail Address: | 99 OLD KINGS RD S, FLAGLER BEACH, FL, 32136, US |
| ZIP code: | 32136 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013596725 | 2021-04-08 | 2021-04-08 | 99 OLD KINGS RD S STE 4, FLAGLER BEACH, FL, 321364356, US | 99 OLD KINGS RD S STE 4, FLAGLER BEACH, FL, 321364356, US | |||||||||||||
|
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| Phone | +1 386-866-1167 |
Authorized person
| Name | DR. MICHAEL SAMBURSKY |
| Role | OWNER |
| Phone | 3862817900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN NICOLE | Agent | 6341 ENGRAM RD, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| ALLEN NICOLE | Managing Member | 6341 ENGRAM RD, NEW SMYRNA BEACH, FL, 32169 |
| SAMBURSKY MICHAEL | Managing Member | 3931 TANO DR, ORMOND BEACH, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000028537 | OLD KINGS CHIROPRACTIC | ACTIVE | 2021-03-01 | 2026-12-31 | No data | 99 OLD KINGS RD S, FLAGLER BEACH, FL, 32136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
