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MCLOVIN ORTHOPAEDICS AND SPINE CENTER, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HOLEN GORDON N Agent 4565 DEVONSHIRE BLVD, PALM HARBOR, FL, 34685

Managing Member

Name Role Address
HOLEN GORDON N Managing Member P O BOX 5776, CLEARWATER, FL, 33758

Fictitious Names

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

Events

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

Documents

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