Entity Name: | MCLOVIN ORTHOPAEDICS AND SPINE CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 24 Jan 2011 (14 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | L11000010109 |
FEI/EIN Number | 274657626 |
Mail Address: | 236 East Main Street #180, Sevierville, TN, 37876, US |
Address: | 5901 SUN BLVD., #206, ST PETERSBURG, FL, 33715, US |
ZIP code: | 33715 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659679645 | 2011-03-01 | 2011-03-01 | PO BOX 5776, CLEARWATER, FL, 337585776, US | 5901 SUN BLVD, SUITE #206, ST PETERSBURG, FL, 337151166, US | |||||||||||||||||||
|
Phone | +1 352-222-4138 |
Phone | +1 855-957-7463 |
Authorized person
Name | GORDON N HOLEN |
Role | PHYSICIAN OWNER |
Phone | 8559577463 |
Taxonomy
Taxonomy Code | 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician |
Is Primary | No |
Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOLEN GORDON N | Agent | 4565 DEVONSHIRE BLVD, PALM HARBOR, FL, 34685 |
Name | Role | Address |
---|---|---|
HOLEN GORDON N | Managing Member | P O BOX 5776, CLEARWATER, FL, 33758 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G11000019112 | BAY ORTHOPAEDICS AND SPINE CENTER | EXPIRED | 2011-02-20 | 2016-12-31 | No data | PO BOX 5776, CLEARWATER, FL, 33758 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF MAILING ADDRESS | 2013-02-10 | 5901 SUN BLVD., #206, ST PETERSBURG, FL 33715 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-03-22 | 5901 SUN BLVD., #206, ST PETERSBURG, FL 33715 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-02-10 |
ANNUAL REPORT | 2012-03-18 |
ADDRESS CHANGE | 2011-03-25 |
Florida Limited Liability | 2011-01-24 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State