| Entity Name: | TAMPA BAY SPINE AND INJURY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2015 (10 years ago) |
| Document Number: | L15000099095 |
| FEI/EIN Number | 47-4255552 |
| Address: | 600 8th street south, saint petersburg, FL, 33701, US |
| Mail Address: | 600 8th street south, saint petersburg, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780066597 | 2015-06-29 | 2015-07-21 | 1532 OAKFIELD DR, SUITE A, BRANDON, FL, 335110829, US | 1532 OAKFIELD DR, SUITE A, BRANDON, FL, 335110829, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-381-3852 |
| Fax | 8133813873 |
Authorized person
| Name | DR. SCOTT OBRIEN ELLIOTT |
| Role | OWNER |
| Phone | 8133813852 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | UO3574 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT3274 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA23287 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2255A2300X - Athletic Trainer |
| License Number | AL3352 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ELLIOTT SCOTT | Agent | 600 8th street south, saint petersburg, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| ELLIOTT SCOTT | Manager | 600 8th street south, saint petersburg, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-11 | 600 8th street south, saint petersburg, FL 33701 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-11 | 600 8th street south, saint petersburg, FL 33701 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-11 | 600 8th street south, saint petersburg, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
