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OLCOTT SPINE INSTITUTE INCORPORATED

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
OLCOTT JOSHUA L Agent 113 W. Lemon Street, LADY LAKE, FL, 32159

President

Name Role Address
OLCOTT JOSHUA L President 113 W. Lemon Street, LADY LAKE, FL, 32159

Fictitious Names

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

Events

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

Documents

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