Entity Name: | SPINECARE ASSOCIATES, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 12 Mar 2002 (23 years ago) |
Document Number: | L02000005835 |
FEI/EIN Number | 030411884 |
Address: | 2250 DREW STREET, CLEARWATER, FL, 33765, US |
Mail Address: | 2250 DREW STREET, CLEARWATER, FL, 33765, US |
ZIP code: | 33765 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720562283 | 2018-09-20 | 2018-09-20 | 200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA, 19007, US | 2250 DREW STREET, CLEARWATER, FL, 33765, US | |||||||||||||||
|
Phone | +1 888-590-0808 |
Fax | 8667404689 |
Authorized person
Name | MACKENZIE HAHN |
Role | NCPDP COORDINATOR |
Phone | 8885900808 |
Taxonomy
Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GASSMAN ALAN SESQ | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
BOTWIN KENNETH | Manager | 2250 DREW STREET, CLEARWATER, FL, 33765 |
FIGUEROA LUIS GDr. | Manager | 2250 DREW STREET, CLEARWATER, FL, 33765 |
TORRES FRANCISCO M | Manager | 2250 DREW STREET, CLEARWATER, FL, 33765 |
HANNA ASHRAF FDr. | Manager | 2250 DREW STREET, CLEARWATER, FL, 33765 |
WEBB SCOTT Dr. | Manager | 2250 DREW STREET, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
LIBRADO RHONDA | Chief Executive Officer | 2250 DREW STREET, CLEARWATER, FL, 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G13000091489 | FLORIDA SPINE INSTITUTE | ACTIVE | 2013-09-16 | 2028-12-31 | No data | 2250 DREW STREET, CLEARWATER, FL, 33765 |
G13000027007 | SPINECARE ASSOCIATES LLC | EXPIRED | 2013-03-19 | 2018-12-31 | No data | SPINECARE ASSOCIATES LLC, 2250 DREW ST, CLEARWATER, FL, 33765 |
G12000050129 | SAME DAY SPINE | EXPIRED | 2012-05-29 | 2017-12-31 | No data | 2250 DREW ST, CLEARWATER, FL, 33765 |
G12000050124 | FSI SPORTS | ACTIVE | 2012-05-18 | 2027-12-31 | No data | 2250 DREW STREET, CLEARWATER, FL, 33765 |
G12000042059 | CLEARWATER IMAGING CENTER | ACTIVE | 2012-05-04 | 2027-12-31 | No data | 2250 DREW STREET, CLEARWATER, FL, 33765 |
G94201900017 | CLEARWATER COMMUNITY IMAGING CENTER | EXPIRED | 1994-07-20 | 2024-12-31 | No data | 2250 DREW STREET, CLEARWATER, FL, 34625 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2017-08-07 | No data | No data |
LC AMENDMENT | 2013-12-16 | No data | No data |
AMENDMENT | 2004-11-16 | No data | No data |
AMENDMENT | 2002-08-15 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J13001634170 | TERMINATED | 1000000543512 | PINELLAS | 2013-10-02 | 2023-11-07 | $ 352.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781634 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State