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SPINAL SOLUTIONS HEALTH AND WELLNESS, PLLC - Florida Company Profile

Company Details

Entity Name: SPINAL SOLUTIONS HEALTH AND WELLNESS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SPINAL SOLUTIONS HEALTH AND WELLNESS, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 23 Mar 2021 (4 years ago)
Document Number: L21000136747
FEI/EIN Number 85-3782185

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 276 PASEO REYES DRIVE, ST AUGUSTINE, FL, 32095, US
Mail Address: 200 FRONT DOOR LANE, ST AUGUSTINE, FL, 32095, US
ZIP code: 32095
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083297915 2021-04-29 2021-05-31 200 FRONT DOOR LN, ST AUGUSTINE, FL, 320958543, US 276 PASEO REYES DR, ST AUGUSTINE, FL, 320958462, US

Contacts

Phone +1 570-778-0083

Authorized person

Name DR. DEREK SISAK
Role CHIROPRACTOR
Phone 5707780083

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Key Officers & Management

Name Role Address
SISAK DEREK JDC Manager 200 FRONT DOOR LANE, ST AUGUSTINE, FL, 32095
Reynolds Dawn Agent 200 Front Door Lane, St Augustine, FL, 32095

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000027402 LUMOS ACTIVE 2023-02-28 2028-12-31 - 276 PASEO REYES DRIVE, ST AUGUSTINE, FL, 32095

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-17 Reynolds, Dawn -
REGISTERED AGENT ADDRESS CHANGED 2023-02-17 200 Front Door Lane, St Augustine, FL 32095 -

Documents

Name Date
ANNUAL REPORT 2025-02-04
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-01-22
Florida Limited Liability 2021-03-23

Date of last update: 02 Apr 2025

Sources: Florida Department of State