| Entity Name: | NOVA SPINE & JOINT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Aug 2022 (2 years ago) |
| Document Number: | L22000342855 |
| FEI/EIN Number | 88-3545598 |
| Address: | 12277 SW 130 St, MIAMI, FL 33186 |
| Mail Address: | 12277 SW 130 St, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649988502 | 2022-11-09 | 2022-11-09 | 12973 SW 112TH ST # 378, MIAMI, FL, 331864768, US | 475 BILTMORE WAY STE 205, CORAL GABLES, FL, 331345736, US | |||||||||||||
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| Phone | +1 305-244-5883 |
Authorized person
| Name | MR. ANDY ZAPATA |
| Role | CEO |
| Phone | 3052445883 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAW OFFICES OF GREGORY A. ZITANI, PLLC | Agent | 4046 SAWYER ROAD, SUITE D, SARASOTA, FL 34233 |
| Name | Role | Address |
|---|---|---|
| DERIAN, ARMEN | Manager | 1871 NW SOUTH RIVER DRIVE #408, MIAMI, FL 33125 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-10 |
| Florida Limited Liability | 2022-08-03 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
