| Entity Name: | CENTER FOR SPINAL STENOSIS & NEUROLOGIC CARE, L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jul 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2016 (8 years ago) |
| Document Number: | L10000078798 |
| FEI/EIN Number | 273191815 |
| Address: | 4310 S. Florida Ave, LAKELAND, FL, 33813, US |
| Mail Address: | 4310 S. Florida Ave, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801173638 | 2011-11-08 | 2021-04-01 | 4310 S FLORIDA AVE, LAKELAND, FL, 338131631, US | 4310 S FLORIDA AVE, LAKELAND, FL, 338131631, US | |||||||||||||||||||||||||
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| Phone | +1 863-606-5937 |
| Fax | 8636065936 |
Authorized person
| Name | MRS. CRYSTAL MAJKA |
| Role | OFFICE ADMINISTRATOR |
| Phone | 8636065937 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | ME88409 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | FY330A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SACHS DONALD C | Agent | 2345 COLLINS LANE, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| SACHS DONALD C | Chief Executive Officer | 2345 COLLINS LANE, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| Sachs Deidra | Manager | 2345 COLLINS LANE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-24 | 4310 S. Florida Ave, LAKELAND, FL 33813 | No data |
| REINSTATEMENT | 2016-10-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-03 | 4310 S. Florida Ave, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-03 | SACHS, DONALD CSR | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| REINSTATEMENT | 2016-10-03 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
