| Entity Name: | SPINECARE ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 May 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L08000045061 |
| FEI/EIN Number | 80-0184103 |
| Address: | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 |
| Mail Address: | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 |
| ZIP code: | 34242 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538311345 | 2008-10-13 | 2011-02-07 | 5700 MIDNIGHT PASS RD, SUITE 4, SARASOTA, FL, 342423083, US | 1564 KINGSLEY AVE, ORANGE PARK, FL, 320734511, US | |||||||||||||||||||||||||||
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| Phone | +1 888-337-3509 |
| Fax | 9413283997 |
| Phone | +1 904-264-0400 |
Authorized person
| Name | CARL R NOBACK |
| Role | PRESIDENT |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | 98887 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERMOYIAN, EDWARD J | Agent | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 |
| Name | Role | Address |
|---|---|---|
| NOBACK, CARL RM.D. | Manager | 5700 MIDNIGHT PASS RD. STE 4, SARASOTA, FL 34242 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-10-05 | HERMOYIAN, EDWARD J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-10-05 | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 | No data |
| REINSTATEMENT | 2011-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-22 | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-22 | 5700 MIDNIGHT PASS RD., STE 4, SARASOTA, FL 34242 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-03-29 |
| REINSTATEMENT | 2011-10-05 |
| ANNUAL REPORT | 2010-04-22 |
| ANNUAL REPORT | 2009-04-22 |
| Florida Limited Liability | 2008-05-06 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
