| Entity Name: | PANAMA CITY SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jun 2014 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 30 Jun 2014 (11 years ago) |
| Document Number: | L14000104553 |
| FEI/EIN Number | 46-3284655 |
| Address: | 2636 Jenks Avenue, PANAMA CITY, FL, 32405, US |
| Mail Address: | 2636 Jenks Avenue, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427490663 | 2013-07-29 | 2020-01-09 | 2636 JENKS AVE, PANAMA CITY, FL, 324054387, US | 2636 JENKS AVE, PANAMA CITY, FL, 324054387, US | |||||||||||||||||||
|
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| Phone | +1 850-481-8752 |
| Fax | 8504818758 |
Authorized person
| Name | DR. MICHAEL XAVIER ROHAN JR. |
| Role | PRESIDENT |
| Phone | 8504818752 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | OS12168 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROHAN MICHAEL XJR | Agent | 2636 Jenks Avenue, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| ROHAN MICHAEL XJR | Manager | 2636 Jenks Avenue, PANAMA CITY, FL, 32405 |
| Rohan Carley | Manager | 2636 Jenks Avenue, PANAMA CITY, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000128606 | NORTHWEST FLORIDA SPINE | ACTIVE | 2018-12-05 | 2028-12-31 | No data | 2636 JENKS AVE, PANAMA CITY, FL, 32405-4387 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-13 | 2636 Jenks Avenue, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-13 | 2636 Jenks Avenue, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 2636 Jenks Avenue, PANAMA CITY, FL 32405 | No data |
| CONVERSION | 2014-06-30 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P13000062442. CONVERSION NUMBER 700000141817 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
