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  5. CITRUS SPINE INSTITUTE, LLC

CITRUS SPINE INSTITUTE, LLC

Company Details

Entity Name: CITRUS SPINE INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Aug 2015 (9 years ago)
Document Number: L15000137829
FEI/EIN Number 47-4864295
Address: 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429, US
Mail Address: 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429, US
ZIP code: 34429
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386293215 2019-09-04 2019-09-04 6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 344298721, US 1409 KINGSLEY AVE STE 9F, ORANGE PARK, FL, 320734579, US

Contacts
Phone +1 352-794-6868
Fax 3527946869
Phone +1 904-579-3448
Fax 9043751761

Authorized person
Name DR. CONSTANTINE A TOUMBIS
Role OWNER
Phone 3527946868

Taxonomy
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CITRUS SPINE INSTITUTE DEFINED BENEFIT PLAN 2023 474864295 2024-10-01 CITRUS SPINE INSTITUTE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429
CITRUS SPINE INSTITUTE PROFIT SHARING PLAN 2023 474864295 2024-10-11 CITRUS SPINE INSTITUTE, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
CITRUS SPINE INSTITUTE DEFINED BENEFIT PLAN 2022 474864295 2023-10-10 CITRUS SPINE INSTITUTE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429
CITRUS SPINE INSTITUTE PROFIT SHARING PLAN 2022 474864295 2023-10-10 CITRUS SPINE INSTITUTE, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
CITRUS SPINE INSTITUTE DEFINED BENEFIT PLAN 2021 474864295 2023-02-15 CITRUS SPINE INSTITUTE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429
CITRUS SPINE INSTITUTE PROFIT SHARING PLAN 2021 474864295 2022-10-13 CITRUS SPINE INSTITUTE, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
CITRUS SPINE INSTITUTE PROFIT SHARING PLAN 2020 474864295 2021-10-11 CITRUS SPINE INSTITUTE, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
CITRUS SPINE INSTITUTE DEFINED BENEFIT PLAN 2020 474864295 2021-10-14 CITRUS SPINE INSTITUTE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429
CITRUS SPINE INSTITUTE PROFIT SHARING PLAN 2019 474864295 2020-10-14 CITRUS SPINE INSTITUTE, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing AUTUMN TOUMBIS
Valid signature Filed with authorized/valid electronic signature
CITRUS SPINE INSTITUTE DEFINED BENEFIT PLAN 2019 474864295 2020-10-15 CITRUS SPINE INSTITUTE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3527946868
Plan sponsor’s address 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Agent

Name Role Address
TOUMBIS CONSTANTINE A Agent 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Manager

Name Role Address
TOUMBIS CONSTANTINE A Manager 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000116835 ORANGE PARK SPINE INSTITUTE EXPIRED 2016-10-27 2021-12-31 No data 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-08 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 No data
CHANGE OF MAILING ADDRESS 2018-03-20 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 No data
REGISTERED AGENT NAME CHANGED 2016-04-21 TOUMBIS, CONSTANTINE A No data
CHANGE OF PRINCIPAL ADDRESS 2015-09-18 6099 W. GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-04-10
AMENDED ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2016-03-02

Related by officers

TOUMBIS CONSTANTINE A

CAT CLEMENTINE, LLC OSTEOPOROSIS INSTITUTE OF FLORIDA, LLC ORANGE PARK SPINE INSTITUTE LLC CAT INVESTMENT PROPERTIES 4 LLC CAT INVESTMENT PROPERTIES 5 LLC CAT INVESTMENT PROPERTIES, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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