Search icon

IDEAL SPINE CHIROPRACTIC CENTER LLC

Company Details

Entity Name: IDEAL SPINE CHIROPRACTIC CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Dec 2021 (3 years ago)
Document Number: L21000509612
FEI/EIN Number 87-3778835
Address: 1210 E OSCEOLA PKWY, 302, KISSIMMEE, FL 34744
Mail Address: 1210 E OSCEOLA PKWY, 302, KISSIMMEE, FL 34744
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336878982 2022-06-08 2022-06-08 1210 E OSCEOLA PKWY STE 302, KISSIMMEE, FL, 347441621, US 1210 E OSCEOLA PKWY STE 302, KISSIMMEE, FL, 347441621, US

Contacts

Phone +1 407-807-0101
Fax 4078070008

Authorized person

Name DR. OSCAR D. NIEVES
Role PRESIDENT
Phone 4078070101

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
NIEVES AVILES, OSCAR D Agent 1210 E OSCEOLA PKWY, 302, KISSIMMEE, FL 34744

President

Name Role Address
NIEVES AVILES, OSCAR D President 1210 E OSCEOLA PKWY, 302 KISSIMMEE, FL 34744

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-03 NIEVES AVILES, OSCAR D No data
CHANGE OF PRINCIPAL ADDRESS 2024-03-15 1210 E OSCEOLA PKWY, 302, KISSIMMEE, FL 34744 No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-01 1210 E OSCEOLA PKWY, 302, KISSIMMEE, FL 34744 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-05-01
Florida Limited Liability 2021-12-01

Date of last update: 12 Feb 2025

Sources: Florida Department of State