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PAIN AND SPINE CENTERS OF FLORIDA, LLC

Company Details

Entity Name: PAIN AND SPINE CENTERS OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 May 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Oct 2011 (13 years ago)
Document Number: L10000054033
FEI/EIN Number 272618053
Address: 8136 Centralia Court, Leesburg, FL, 34788, US
Mail Address: P O BOX 1266, TAVARES, FL, 32778, US
ZIP code: 34788
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487097556 2013-04-09 2015-09-23 8136 CENTRALIA CT, SUITE 103, LEESBURG, FL, 347883757, US 8136 CENTRALIA CT, SUITE 103, LEESBURG, FL, 347883757, US

Contacts

Phone +1 352-343-6900

Authorized person

Name MR. SEAN MCLIN
Role BILLING MANAGER
Phone 9413122831

Taxonomy

Taxonomy Code 207RX0202X - Medical Oncology Physician
License Number ME99661
State FL
Is Primary Yes
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number ME100408
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN AND SPINE CENTERS OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2014 272618063 2015-10-15 PAIN AND SPINE CENTERS OF FLORIDA, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 8136 CENTRALIA COURT, SUITE 103, LEESBURG, FL, 347883757

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
PAIN AND SPINE CENTERS OF FLORIDA, LLC CASH BALANCE PLAN 2014 272618053 2015-10-15 PAIN AND SPINE CENTERS OF FLORIDA, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 8136 CENTRALIA COURT, SUITE 103, LEESBURG, FL, 347883757

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
PAIN AND SPINE CENTERS OF FLORIDA, LLC CASH BALANCE PLAN 2013 272618053 2014-10-10 PAIN AND SPINE CENTERS OF FLORIDA, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 8136 CENTRALIA COURT, SUITE 103, LEESBURG, FL, 347883757

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
PAIN AND SPINE CENTERS OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2013 272618063 2014-10-10 PAIN AND SPINE CENTERS OF FLORIDA, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 8136 CENTRALIA COURT, SUITE 103, LEESBURG, FL, 347883757

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
PAIN AND SPINE CENTERS OF FLORIDA, LLC CASH BALANCE PLAN 2012 272618053 2013-10-14 PAIN AND SPINE CENTERS OF FLORIDA, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 2146 VINDALE ROAD, TAVARES, FL, 327785602

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature
PAIN AND SPINE CENTERS OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2012 272618053 2013-10-14 PAIN AND SPINE CENTERS OF FLORIDA, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3523437246
Plan sponsor’s address 2146 VINDALE ROAD, TAVARES, FL, 327785602

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing SRIDHAR PINNAMANENI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Anees Tanoli A Agent 1322 N PINE HILLS RD, ORLANDO, FL, 32808

President

Name Role Address
PINNAMANENI SRIDHAR D President P O BOX 1266, TAVARES, FL, 32778

Vice President

Name Role Address
PINNAMANENI SUNEETA Dr. Vice President P O BOX 1266, TAVARES, FL, 32778

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 Anees, Tanoli A No data
CHANGE OF MAILING ADDRESS 2016-03-15 8136 Centralia Court, Suite 103, Leesburg, FL 34788 No data
CHANGE OF PRINCIPAL ADDRESS 2013-07-28 8136 Centralia Court, Suite 103, Leesburg, FL 34788 No data
LC AMENDMENT 2011-10-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-01-26
ANNUAL REPORT 2019-03-10
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-03-11
ANNUAL REPORT 2016-03-15
ANNUAL REPORT 2015-02-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State