| Entity Name: | SPINAL HEALTH CARE OF ORLANDO, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Aug 2008 (17 years ago) |
| Document Number: | P08000078067 |
| FEI/EIN Number | 263304926 |
| Address: | 1206 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL, 34741 |
| Mail Address: | 1206 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942597075 | 2011-07-11 | 2011-07-11 | PO BOX 421846, KISSIMMEE, FL, 347421846, US | 1206 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414206, US | |||||||||||||||||||||||||
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| Phone | +1 407-870-8811 |
| Fax | 4078700648 |
Authorized person
| Name | DR. MARIE BLONDINE CAYO |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 4078708811 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8059 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382153600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cayo Marie B | Agent | 1206 N John Young Pkwy, Kissimmee, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| CAYO MARIE B | President | 1206 N John Young Pkwy, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-20 | Cayo, Marie B | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-20 | 1206 N John Young Pkwy, Kissimmee, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-05-23 | 1206 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2011-05-23 | 1206 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| AMENDED ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3323708400 | 2021-02-04 | 0455 | PPS | 1206 N John Young Pkwy, Kissimmee, FL, 34741-4206 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6886957308 | 2020-04-30 | 0455 | PPP | 1206 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741-4206 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
