Entity Name: | FLORIDA SPINE AND BRAIN, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 20 Jun 2008 (17 years ago) |
Date of dissolution: | 25 Nov 2014 (10 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 25 Nov 2014 (10 years ago) |
Document Number: | L08000060823 |
FEI/EIN Number | 262761805 |
Address: | 3210 CLEVELAND AVENUE, STE. 101, FORT MYERS, FL, 33901, US |
Mail Address: | 3210 CLEVELAND AVENUE, STE. 101, FORT MYERS, FL, 33901, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700048170 | 2008-06-27 | 2010-11-03 | 252 W MARION AVE, PUNTA GORDA, FL, 339504435, US | 20 BARKLEY CIR, SUITE 201, FORT MYERS, FL, 339074545, US | |||||||||||||||
|
Phone | +1 941-205-2417 |
Phone | +1 239-275-6690 |
Authorized person
Name | DR. DAVID B SUDDERTH |
Role | PRESIDENT |
Phone | 2392756690 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
Is Primary | Yes |
Name | Role |
---|---|
NATIONAL REGISTERED AGENTS, INC. | Agent |
Name | Role | Address |
---|---|---|
SUDDERTH DAVID BMD | President | 3210 CLEVELAND AVENUE, FORT MYERS, FL, 33901 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2014-11-25 | No data | No data |
REINSTATEMENT | 2014-01-09 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-01-09 | 3210 CLEVELAND AVENUE, STE. 101, FORT MYERS, FL 33901 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-01-09 | 1200 S. PINE ISLAND ROAD, SUITE 250, PLANTATION, FL 33324 | No data |
CHANGE OF MAILING ADDRESS | 2014-01-09 | 3210 CLEVELAND AVENUE, STE. 101, FORT MYERS, FL 33901 | No data |
REGISTERED AGENT NAME CHANGED | 2014-01-09 | NATIONAL REGISTERED AGENTS INC. | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2014-11-25 |
REINSTATEMENT | 2014-01-09 |
ANNUAL REPORT | 2012-04-11 |
ANNUAL REPORT | 2011-01-07 |
ANNUAL REPORT | 2010-01-05 |
ANNUAL REPORT | 2009-06-16 |
Florida Limited Liability | 2008-06-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State