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TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC - Florida Company Profile

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Company Details

Entity Name: TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Sep 2011 (14 years ago)
Date of dissolution: 24 May 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 May 2013 (12 years ago)
Document Number: L11000103591
FEI/EIN Number 453205331
Address: 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL, 33606
Mail Address: 701 S Howard Ave., SUITE 106312, TAMPA, FL, 33606, US
ZIP code: 33606
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FLYNN KORTNI Managing Member 701 S Howard Ave., TAMPA, FL, 33606
VU DAMON Managing Member 701 S. Howard Ave., TAMPA, FL, 33606
FLYNN KORTNI Agent 1000 W KENNEDY BLVD, TAMPA, FL, 33606

National Provider Identifier

NPI Number:
1508101296

Authorized Person:

Name:
KORTNI FLYNN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8132588118

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-05-24 - -
CHANGE OF MAILING ADDRESS 2013-02-14 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL 33606 -
REGISTERED AGENT ADDRESS CHANGED 2012-05-14 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL 33606 -
CHANGE OF PRINCIPAL ADDRESS 2012-05-11 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL 33606 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2013-05-24
ANNUAL REPORT 2013-02-14
Reg. Agent Change 2012-05-14
ANNUAL REPORT 2012-02-08
Florida Limited Liability 2011-09-12

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Date of last update: 01 Aug 2025

Sources: Florida Department of State