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MATRIX SPINE AND SPORTS MEDICINE, LLC

Company Details

Entity Name: MATRIX SPINE AND SPORTS MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 11 Jul 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: L22000308717
Address: 1548 ARGYLE DRIVE, FORT LAUDERDALE, FL 33312
Mail Address: 1548 ARGYLE DRIVE, FORT LAUDERDALE, FL 33312
ZIP code: 33312
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134846066 2022-10-21 2022-10-21 43 S POWERLINE RD STE 245, POMPANO BEACH, FL, 330693001, US 150 SW 12TH AVE STE 440, POMPANO BEACH, FL, 330693200, US

Contacts

Phone +1 954-228-8486
Fax 9542282601

Authorized person

Name DR. DENNIS BONNEAU
Role MEMBER MANAGER
Phone 9542288486

Taxonomy

Taxonomy Code 111NX0800X - Orthopedic Chiropractor
Is Primary Yes

Agent

Name Role Address
BONNEAU, DENNIS Agent 1548 ARGYLE DRIVE, FORT LAUDERDALE, FL 33312

Manager

Name Role Address
BONNEAU, DENNIS Manager 1548 ARGYLE DRIVE, FORT LAUDERDALE, FL 33312

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2022-07-11

Date of last update: 12 Jan 2025

Sources: Florida Department of State