| Entity Name: | BRAIN & SPINE NEUROSURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Feb 2006 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | L06000013740 |
| Address: | 5495 N.E. ST. JAMES DRIVE, PORT ST. LUCIE, FL, 34983 |
| Mail Address: | 5495 N.E. ST. JAMES DRIVE, PORT ST. LUCIE, FL, 34983 |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326187667 | 2007-02-05 | 2020-08-22 | 1050 SE MONTEREY RD, SUITE #102, STUART, FL, 349944512, US | 1050 SE MONTEREY RD, SUITE #102, STUART, FL, 349944512, US | |||||||||||||||
|
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| Phone | +1 772-463-4033 |
| Fax | 7724634034 |
Authorized person
| Name | MRS. JODI L. DUDENEY |
| Role | MANAGER |
| Phone | 7724634033 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DONOVAN WILLIAM F | Agent | 5495 N.E. ST. JAMES DRIVE, PORT ST. LUCIE, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| ZEGEYE YONAS | Managing Member | 5495 N.E. ST. JAMES DRIVE, PORT ST. LUCIE, FL, 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2007-11-14 |
| Florida Limited Liability | 2006-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
