Entity Name: | OLCOTT SPINE INSTITUTE INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 08 Jan 2014 (11 years ago) |
Document Number: | P14000002569 |
FEI/EIN Number | 46-4459028 |
Address: | 113 W. Lemon Street, LADY LAKE, FL, 32159, US |
Mail Address: | 113 W. Lemon Street, LADY LAKE, FL, 32159, US |
ZIP code: | 32159 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003291469 | 2015-07-28 | 2024-04-03 | 113 W LEMON STREET, LADY LAKE, FL, 32159, US | 113 W LEMON STREET, LADY LAKE, FL, 321593855, US | |||||||||||||||||||
|
Phone | +1 352-633-1048 |
Fax | 3526335274 |
Authorized person
Name | DR. JOSHUA OLCOTT |
Role | BUSINESS OWNER |
Phone | 3526331048 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH10420 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
OLCOTT JOSHUA L | Agent | 113 W. Lemon Street, LADY LAKE, FL, 32159 |
Name | Role | Address |
---|---|---|
OLCOTT JOSHUA L | President | 113 W. Lemon Street, LADY LAKE, FL, 32159 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000046823 | OLCOTT CHIROPRACTIC AND WELLNESS CENTER | ACTIVE | 2015-05-11 | 2025-12-31 | No data | 201 W. GUAVA STREET, STE 201, LADY LAKE, FL, 32159 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-28 | 113 W. Lemon Street, LADY LAKE, FL 32159 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-28 | 113 W. Lemon Street, LADY LAKE, FL 32159 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-28 | 113 W. Lemon Street, LADY LAKE, FL 32159 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-28 |
ANNUAL REPORT | 2023-01-25 |
ANNUAL REPORT | 2022-02-02 |
ANNUAL REPORT | 2021-01-26 |
ANNUAL REPORT | 2020-04-27 |
ANNUAL REPORT | 2019-03-28 |
ANNUAL REPORT | 2018-04-14 |
ANNUAL REPORT | 2017-04-05 |
ANNUAL REPORT | 2016-04-26 |
ANNUAL REPORT | 2015-04-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State