| Entity Name: | GULF COAST SPINE & ORTHOPAEDIC INSTITUTE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2006 (19 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L06000057140 |
| FEI/EIN Number | 205031081 |
| Address: | 8340 COLLIER BOULEVARD, SUITE 203, NAPLES, FL, 34114 |
| Mail Address: | 8340 COLLIER BOULEVARD, SUITE 203, NAPLES, FL, 34114 |
| ZIP code: | 34114 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962431031 | 2006-07-01 | 2008-07-15 | PO BOX 110788, NAPLES, FL, 341080114, US | 8340 COLLIER BLVD, SUITE 203, NAPLES, FL, 341143625, US | |||||||||||||||||||||||||
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| Phone | +1 239-514-2642 |
| Fax | 2395142643 |
Authorized person
| Name | JAMES B MANZANARES |
| Role | PRESIDENT/MD |
| Phone | 2395142642 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME82473 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261490100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANZANARES JAMES | Agent | 8340 COLLIER BOULEVARD, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| MANZANARES JAMES | Manager | 8340 COLLIER BOULEVARD, NAPLES, FL, 34114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-28 | 8340 COLLIER BOULEVARD, SUITE 203, NAPLES, FL 34114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-28 | 8340 COLLIER BOULEVARD, SUITE 203, NAPLES, FL 34114 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-28 | 8340 COLLIER BOULEVARD, SUITE 203, NAPLES, FL 34114 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-28 | MANZANARES, JAMES | No data |
| REINSTATEMENT | 2007-09-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| LC NAME CHANGE | 2006-06-23 | GULF COAST SPINE & ORTHOPAEDIC INSTITUTE, PLLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001714980 | LAPSED | 2011-CA-54700 | 20TH JUDICIAL CIRCUIT LEE CO. | 2013-11-25 | 2018-12-12 | $713,323.16 | EVERBANK, 501 RIVERSIDE AVENUE, SUITE 501, JACKSONVILLE, FL 32202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-01-09 |
| REINSTATEMENT | 2007-09-21 |
| LC Name Change | 2006-06-23 |
| Florida Limited Liability | 2006-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
