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UNIVERSITY SPINE & INJURY LLC

Company Details

Entity Name: UNIVERSITY SPINE & INJURY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Sep 2021 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Jul 2022 (3 years ago)
Document Number: L21000397806
FEI/EIN Number 87-2670841
Address: 4907 N.W. 43RD STREET, GAINESVILLE, FL 32606
Mail Address: 4907 N.W. 43RD STREET, GAINESVILLE, FL 32606
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033873484 2021-10-22 2021-10-22 4907 NW 43RD ST STE B, GAINESVILLE, FL, 326062007, US 4907 NW 43RD ST STE B, GAINESVILLE, FL, 326062007, US

Contacts

Phone +1 352-792-0284

Authorized person

Name IVI BIFSHA
Role OWNER
Phone 3527920284

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
BIFSHA, IVI Agent 4907 N.W. 43RD STREET, GAINESVILLE, FL 32606

Manager

Name Role Address
BIFSHA, IVI Manager 16013 BRISTOL LAKE CIRCLE, ORLANDO, FL 32828

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-07-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-25
LC Amendment 2022-07-21
ANNUAL REPORT 2022-01-28
Florida Limited Liability 2021-09-07

Date of last update: 13 Jan 2025

Sources: Florida Department of State