| Entity Name: | SAGE CHIROPRACTIC AND VITALITY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2023 (2 years ago) |
| Document Number: | L23000159679 |
| FEI/EIN Number | 92-3769369 |
| Address: | 400 South Atlantic Ave, ORMOND BEACH, FL, 32176, US |
| Mail Address: | 400 South Atlantic Ave, ORMOND BEACH, FL, 32176, US |
| ZIP code: | 32176 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568145035 | 2023-08-10 | 2023-08-10 | 400 S ATLANTIC AVE STE 114, ORMOND BEACH, FL, 321767142, US | 400 S ATLANTIC AVE STE 114, ORMOND BEACH, FL, 321767142, US | |||||||||||||
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| Phone | +1 386-301-4393 |
Authorized person
| Name | DR. KELSEY LAUREN PILATI |
| Role | CHIROPRACTOR/OWNER |
| Phone | 3302051914 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PILATI-WILLIS KELSEY LDr. | Agent | 1112 SHOCKENY LANE, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| PILATI-WILLIS KELSEY LDr. | Manager | 1112 SHOCKNEY LANE, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 400 South Atlantic Ave, Ste 114, ORMOND BEACH, FL 32176 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 400 South Atlantic Ave, Ste 114, ORMOND BEACH, FL 32176 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-07 | PILATI-WILLIS, KELSEY L, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-03-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
