Entity Name: | SPINE MOTION DX II LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: | Active |
Date Filed: | 01 May 2024 (9 months ago) |
Document Number: | M24000005556 |
FEI/EIN Number | 991169477 |
Address: | 101 N. WOODLAND BLVD., SUITE 210, DELAND, FL, 32720, US |
Mail Address: | 101 N. WOODLAND BLVD., SUITE 210, DELAND, FL, 32720, US |
ZIP code: | 32720 |
County: | Volusia |
Place of Formation: | WYOMING |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588421838 | 2024-03-04 | 2024-03-04 | 101 N WOODLAND BLVD STE 210, DELAND, FL, 327204247, US | 101 N WOODLAND BLVD STE 210, DELAND, FL, 327204247, US | |||||||||||||||
|
Phone | +1 888-473-2909 |
Fax | 8884735564 |
Authorized person
Name | CHRISTOPHER HALL |
Role | PRESIDENT |
Phone | 8185183112 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | Yes |
Name | Role |
---|---|
DEAN MEAD SERVICES, LLC | Agent |
Name | Role | Address |
---|---|---|
KRYTUS MARTY | Member | 101 N. WOODLAND BLVD., SUITE 210, DELAND, FL, 32720 |
Name | Date |
---|---|
Foreign Limited | 2024-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State