| Entity Name: | TAMPA BAY ORTHOPAEDIC & SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Jun 2009 (16 years ago) |
| Date of dissolution: | 13 Jan 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jan 2021 (4 years ago) |
| Document Number: | L09000054083 |
| FEI/EIN Number | 270299362 |
| Address: | 1811 North Belcher Rd, CLEARWATER, FL, 33765, US |
| Mail Address: | 1811 North Belcher Rd, CLEARWATER, FL, 33765, US |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285860007 | 2009-06-08 | 2015-11-13 | 1811 N BELCHER RD, SUITE H-2, CLEARWATER, FL, 337651433, US | 1811 N BELCHER RD, SUITE H-2, CLEARWATER, FL, 337651433, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-672-4637 |
| Fax | 7277246377 |
Authorized person
| Name | DR. DAVID WALL |
| Role | SOLE MBR |
| Phone | 7275012347 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | OS8857 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME48335 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALL DAVID | Agent | 1811 North Belcher Rd, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| WALL DAVID | Manager | 1811 North Belcher Rd, CLEARWATER, FL, 33765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000083381 | FLORIDA ORTHOPAEDIC & SPINE | EXPIRED | 2012-08-23 | 2017-12-31 | No data | 1700 N MC MULLEN BOOTH RD, STE A2-1, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-01-13 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-08 | 1811 North Belcher Rd, H2, CLEARWATER, FL 33765 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-08 | 1811 North Belcher Rd, H2, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-08 | 1811 North Belcher Rd, H2, CLEARWATER, FL 33765 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-09-21 | WALL, DAVID | No data |
| LC AMENDMENT | 2010-09-21 | No data | No data |
| LC VOLUNTARY DISSOLUTION | 2010-08-17 | No data | No data |
| LC AMENDMENT | 2010-08-17 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-01-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-02-27 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
