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SPINE MOTION DX II LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
DEAN MEAD SERVICES, LLC Agent

Member

Name Role Address
KRYTUS MARTY Member 101 N. WOODLAND BLVD., SUITE 210, DELAND, FL, 32720

Documents

Name Date
Foreign Limited 2024-05-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State