| Entity Name: | SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Oct 2009 (15 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 30 Jul 2015 (10 years ago) |
| Document Number: | L09000096712 |
| FEI/EIN Number | 271091876 |
| Address: | 2030 BEE RIDGE RD. SUITE B, SARASOTA, FL, 34239 |
| Mail Address: | 2030 Bee Ridge Rd, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740662410 | 2015-06-18 | 2015-06-25 | 2030 BEE RIDGE RD, SUITE B, SARASOTA, FL, 342396108, US | 2030 BEE RIDGE RD, SUITE B, SARASOTA, FL, 342396108, US | |||||||||||||||
|
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| Phone | +1 941-845-0233 |
| Fax | 9415386063 |
Authorized person
| Name | CARLOS A DIAZ |
| Role | OWNER |
| Phone | 9418095794 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COMPVTIS CPAs, INC | Agent | 1101 9TH AVENUE W, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| DIAZ CARLOS ADr. | Manager | 2030 Bee Ridge Rd, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-20 | 1101 9TH AVENUE W, BRADENTON, FL 34205 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 2030 BEE RIDGE RD. SUITE B, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-29 | COMPVTIS CPAs, INC | No data |
| LC DISSOCIATION MEM | 2015-07-30 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2015-06-16 | SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-06-16 | 2030 BEE RIDGE RD. SUITE B, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| CORLCDSMEM | 2015-07-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
