| Entity Name: | PONTE VEDRA SPINE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Sep 2022 (2 years ago) |
| Document Number: | L22000395978 |
| FEI/EIN Number | 92-0390206 |
| Address: | 220 PONTE VEDRA PARK DR, 180, PONTE VEDRA BEACH, FL 32082 |
| Mail Address: | 220 PONTE VEDRA PARK DR, 180, PONTE VEDRA BEACH, FL 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225754294 | 2022-10-12 | 2022-10-12 | 220 PONTE VEDRA PARK DR STE 180, PONTE VEDRA BEACH, FL, 320826616, US | 220 PONTE VEDRA PARK DR STE 180, PONTE VEDRA BEACH, FL, 320826616, US | |||||||||||||
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| Phone | +1 937-602-2092 |
Authorized person
| Name | GION MONN |
| Role | CEO |
| Phone | 9376022095 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZACHARY, MILES E | Agent | 7507 A1A SOUTH, ST. AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| MONN, GION | Chief Executive Officer | 7507 A1A SOUTH, ST AUGUSTINE, FL 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-11-18 | 220 PONTE VEDRA PARK DR, 180, PONTE VEDRA BEACH, FL 32082 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-28 |
| Florida Limited Liability | 2022-09-09 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
