| Entity Name: | TOTAL SPINE CARE ASSOCIATES OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Sep 2010 (14 years ago) |
| Date of dissolution: | 17 Apr 2017 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Apr 2017 (8 years ago) |
| Document Number: | L10000094267 |
| FEI/EIN Number | 273452272 |
| Address: | 1045 Kings Way Lane, Tarpon Springs, FL, 34688, US |
| Mail Address: | PO BOX 160, CIRCLE PINES, MN, 55014 |
| ZIP code: | 34688 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386952554 | 2010-09-21 | 2011-12-23 | PO BOX 160, CIRCLE PINES, MN, 550140160, US | 3650 NW 82ND AVE, SUITE 201, DORAL, FL, 331666658, US | |||||||||||||||||||||||||||||
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| Phone | +1 612-669-7173 |
| Fax | 6514907797 |
| Phone | +1 305-716-8348 |
| Fax | 3057168359 |
Authorized person
| Name | JUAN M RAPOSO |
| Role | OWNER |
| Phone | 3057168348 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME 104124 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002828700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAPOSO JUAN M | Agent | 1045 Kings Way Lane, Tarpon Springs, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| RAPOSO JUAN M | Manager | 1045 Kings Way Lane, Tarpon Springs, FL, 34688 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000099892 | MIAMI NECK AND BACK INSTITUTE | EXPIRED | 2010-11-01 | 2015-12-31 | No data | 5151 COLLINS AVENUE, APT 1121, MIAMI BEACH, FL, 33140 |
| G10000084308 | MIAMI NECK@BACK INSTITUTE | EXPIRED | 2010-09-14 | 2015-12-31 | No data | 5151 COLLINS AVE, APT 1121, MIAMI BEACH, FL, 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2017-04-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-21 | 1045 Kings Way Lane, Tarpon Springs, FL 34688 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-21 | 1045 Kings Way Lane, Tarpon Springs, FL 34688 | No data |
| REINSTATEMENT | 2011-12-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-12-06 | 1045 Kings Way Lane, Tarpon Springs, FL 34688 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2017-04-17 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-18 |
| REINSTATEMENT | 2011-12-06 |
| Florida Limited Liability | 2010-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
