| Entity Name: | GENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC 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. |
| 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: | 02 May 2022 (3 years ago) |
| Document Number: | L22000207471 |
| FEI/EIN Number |
92-1925502
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5101 GATE PKWY, STE 2, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 5101 GATE PKWY, STE 2, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639861099 | 2023-05-24 | 2024-04-16 | 1893 N CLYDE MORRIS BLVD STE 120, DAYTONA BEACH, FL, 321175536, US | 1893 N CLYDE MORRIS BLVD STE 120, DAYTONA BEACH, FL, 321175536, US | |||||||||||||||
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| Phone | +1 386-866-9091 |
| Fax | 9048137156 |
Authorized person
| Name | MICHAEL SANDBORN |
| Role | PHYSICIAN/OWNER |
| Phone | 3868669091 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUPI MICHAEL | Authorized Member | 2815 MAARTEN COURT, JACKSONVILLE BEACH, FL, 32250 |
| SANDBORN MICHAEL | Agent | 5101 GATE PKWY, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-11 | 1893 N CLYDE MORRIS BLVD STE 120, STE 2, DAYTONA BEACH, FL 32117 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-02-01 |
| Florida Limited Liability | 2022-05-02 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
