| Entity Name: | TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508101296 | 2012-12-06 | 2012-12-07 | 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL, 336061940, US | 1000 W KENNEDY BLVD, SUITE 201, TAMPA, FL, 336061940, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-258-2225 |
| Fax | 8132588118 |
Authorized person
| Name | KORTNI FLYNN |
| Role | OWNER |
| Phone | 9897141839 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | 98264 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| License Number | 105149 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | 105149 |
| State | FL |
| Is Primary | Yes |
| 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 |
| 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 | - |
| 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 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
