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JOINT REGENERATION OF FLORIDA LLC - Florida Company Profile

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Company Details

Entity Name: JOINT REGENERATION OF FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 May 2022 (3 years ago)
Document Number: L22000224872
FEI/EIN Number 882627578
Address: 120 State St E #104, Oldsmar, FL, 34677, US
Mail Address: 120 State St E #104, Oldsmar, FL, 34677, US
ZIP code: 34677
City: Oldsmar
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MANZI KRISTYN L Manager 1792 WOOD THRUSH WAY, PALM HARBOR, FL, 34683
Lockett Ricky Authorized Member 2395 Old Coach Trail, Clearwater, FL, 33765
mcgraw james p Agent 508 Southwest 29th Ave, Cape Coral, FL, 33991

National Provider Identifier

NPI Number:
1275263139
Certification Date:
2024-07-29

Authorized Person:

Name:
KRISTYN MANZI
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
163WW0000X - Wound Care Registered Nurse
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000123127 JOINT REGENERATION AND ANTI-AGING OF OLDSMAR ACTIVE 2022-09-30 2027-12-31 - 120 STATE ST E #104, OLDSMAR, FL, 34677

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-09-27 120 State St E #104, Oldsmar, FL 34677 -
CHANGE OF MAILING ADDRESS 2022-09-27 120 State St E #104, Oldsmar, FL 34677 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-05
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-05-09
Florida Limited Liability 2022-05-13

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Date of last update: 01 Aug 2025

Sources: Florida Department of State