| Entity Name: | SPINE INJURY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Sep 2012 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L12000122244 |
| FEI/EIN Number | 46-1065685 |
| Address: | 3006 Gulf To Bay Blvd, Clearwater, FL, 33759, US |
| Mail Address: | 3006 Gulf to Bay Blvd, Clearwater, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487908893 | 2012-11-07 | 2012-11-07 | 607 W. MARTIN LUTHER KING BLVD, SUITE 1, TAMPA, FL, 33603, US | 607 W MARTIN LUTHER KING BLVD, SUITE 1, TAMPA, FL, 33603, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-463-0225 |
| Fax | 8132372149 |
Authorized person
| Name | DR. ERIC K GROTEKE |
| Role | MEMBER |
| Phone | 7274749729 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | ME46811 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME54499 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Groteke Eric K | Agent | 3006 Gulf To Bay Blvd, Clearwater, FL, 33759 |
| Name | Role |
|---|---|
| EKG CONSULTING, PLLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 3006 Gulf To Bay Blvd, Clearwater, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 3006 Gulf To Bay Blvd, Clearwater, FL 33759 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | Groteke, Eric K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 3006 Gulf To Bay Blvd, Clearwater, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-05-31 |
| Florida Limited Liability | 2012-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
