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JOURNEY SPINAL CARE LLC

Company Details

Entity Name: JOURNEY SPINAL CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Mar 2022 (3 years ago)
Document Number: L22000154907
FEI/EIN Number 88-1751899
Address: 4015 W 1ST ST, SANFORD, FL 32771
Mail Address: 1615 PINE AVE, DELAND, FL 32724
ZIP code: 32771
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992481964 2023-06-26 2023-06-26 4015 W 1ST ST, SANFORD, FL, 32771, US 4015 W 1ST ST, SANFORD, FL, 32771, US

Contacts

Phone +1 321-926-4565
Fax 3219264566

Authorized person

Name SAMMER YACOUB
Role OWNER/MANAGER
Phone 3302407247

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
YACOUB, SAMMER Agent 4015 W 1ST ST, SANFORD, FL 32771

Authorized Representative

Name Role Address
YACOUB, SAMMER Authorized Representative 4015 W 1ST ST, SANFORD, FL 32771

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-26
Florida Limited Liability 2022-03-30

Date of last update: 12 Feb 2025

Sources: Florida Department of State