| Entity Name: | BRAIN AND SPINE INSTITUTE FOR CHILDREN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Feb 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Nov 2019 (5 years ago) |
| Document Number: | L13000017447 |
| FEI/EIN Number | 461917397 |
| Address: | 201 N LAKEMONT AVE, WINTER PARK, FL, 32792, US |
| Mail Address: | 201 N LAKEMONT AVE, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821339144 | 2013-03-12 | 2013-06-09 | 25 W KALEY ST, SUITE 200, ORLANDO, FL, 328062939, US | 25 W KALEY ST, SUITE 200, ORLANDO, FL, 328062939, US | |||||||||||||||||||
|
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| Phone | +1 407-255-2152 |
| Fax | 4072648395 |
Authorized person
| Name | KEYNE K JOHNSON |
| Role | PRESIDENT/OWNER |
| Phone | 4073785100 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHNSON KEYNE KDr. | Agent | 201 N Lakemont Ave, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| KEYNE K. JOHNSON, M.D. | Managing Member | 201 N Lakemont Ave, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 201 N Lakemont Ave, SUITE 500, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-30 | 201 N LAKEMONT AVE, SUITE 500, WINTER PARK, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-30 | 201 N LAKEMONT AVE, SUITE 500, WINTER PARK, FL 32792 | No data |
| REINSTATEMENT | 2019-11-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-11-19 | JOHNSON, KEYNE KRISTIN, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-10-17 | No data | No data |
| REINSTATEMENT | 2014-11-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC AMENDMENT | 2013-04-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000416362 | LAPSED | 2017-CA-738-O | 9TH CIRCUIT ORANGE COUNTY FL | 2018-04-26 | 2023-06-18 | $380,711.19 | STOREY MOUNTAIN, LLC, 30 N. GOULD ST, SUITE 20934, SHERIDAN, WY 82801 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-18 |
| REINSTATEMENT | 2019-11-19 |
| LC Amendment | 2018-10-17 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-05-02 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
