| Entity Name: | ASC HOLLYWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2024 (10 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Nov 2024 (3 months ago) |
| Document Number: | L24000174149 |
| FEI/EIN Number | 992593765 |
| Address: | 1025 E Hallandale Beach Blvd. Unit 8, Hallandale Beach, FL, 33009, US |
| Mail Address: | PO BOX 41226, JACKSONVILLE, FL, 32203, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790515013 | 2024-08-02 | 2024-08-02 | PO BOX 41226, JACKSONVILLE, FL, 322031226, US | 1025 E HALLANDALE BEACH BLVD STE 6-8, HALLANDALE BEACH, FL, 330094478, US | |||||||||||||||||
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| Phone | +1 904-619-2652 |
| Fax | 9045612001 |
| Phone | +1 904-320-0807 |
Authorized person
| Name | LISA MERRITT |
| Role | BILLING MANAGER |
| Phone | 9046192652 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JIMENEZ LAW FIRM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| PAVLOVA KHIGER IRINA | Manager | PO BOX 41226, JACKSONVILLE, FL, 32203 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000087336 | AMAZING SPINE CARE | ACTIVE | 2024-07-22 | 2029-12-31 | No data | 1100 KINGS ROAD, UNIT 41226, JACKSONVILLE, FL, 32203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-11-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-19 | 1025 E Hallandale Beach Blvd. Unit 8, Hallandale Beach, FL 33009 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-11-15 |
| Florida Limited Liability | 2024-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
