| Entity Name: | NEXUS SPINE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Jan 2022 (3 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: | L22000036770 |
| Address: | 12437 BRANTLEY COMMONS COURT, FORT MYERS, FL, 33907, US |
| Mail Address: | 12437 BRANTLEY COMMONS COURT, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104571629 | 2022-02-14 | 2022-02-14 | 9858 CLINT MOORE RD # C111-274, BOCA RATON, FL, 334961034, US | 12437 BRANTLEY COMMONS CT, FORT MYERS, FL, 339075682, US | |||||||||||||||||||||||||||
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| Phone | +1 561-482-1144 |
| Fax | 5614821145 |
| Phone | +1 800-835-9007 |
| Fax | 2393106649 |
Authorized person
| Name | ABEL MURILLO |
| Role | MEDICAL DIRECTOR |
| Phone | 8008359007 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| N/A N/A | Agent | 12437 BRANTLEY COMMONS COURT, FORT MYERS, FL |
| Name | Role | Address |
|---|---|---|
| RIOS ANTONIO | Authorized Member | 2612 CEITUS PKWY, CAPE CORAL, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-06-14 | No data | No data |
| LC AMENDMENT | 2022-03-08 | No data | No data |
| LC AMENDMENT | 2022-03-07 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2023-03-08 |
| LC Amendment | 2022-06-14 |
| LC Amendment | 2022-03-08 |
| LC Amendment | 2022-03-07 |
| Florida Limited Liability | 2022-01-19 |
| CORLCMMRES | 2022-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
