| Entity Name: | BOCA SPINE AND PAIN INSTITUTE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Aug 2015 (9 years ago) |
| Document Number: | L15000147985 |
| FEI/EIN Number | 47-4974424 |
| Address: | 670 Glades Road, Boca Raton, FL, 33431, US |
| Mail Address: | 670 Glades Road, Boca Raton, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215429261 | 2018-06-05 | 2018-06-05 | 670 GLADES RD STE 200, BOCA RATON, FL, 334316464, US | 670 GLADES RD STE 200, BOCA RATON, FL, 334316464, US | |||||||||||||||
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| Phone | +1 561-495-9511 |
| Fax | 5619907426 |
Authorized person
| Name | DR. BRIAN JAMES BURROUGH |
| Role | OWNER |
| Phone | 5614959511 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Morris Jan MESQ. | Agent | 6622 Patio Lane, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| NORTON ROBERT DR | Authorized Member | 670 Glades Road, Boca Raton, FL, 33431 |
| BURROUGH BRIAN DR | Authorized Member | 670 Glades Road, Boca Raton, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000022255 | FLORIDA SPINE ASSOCIATES | ACTIVE | 2017-03-01 | 2027-12-31 | No data | 670 GLADES ROAD, SUITE 200, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-03-20 | Morris, Jan Michael, ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-20 | 6622 Patio Lane, BOCA RATON, FL 33433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-25 | 670 Glades Road, Ste 200, Boca Raton, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-25 | 670 Glades Road, Ste 200, Boca Raton, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-02-26 |
| ANNUAL REPORT | 2016-04-25 |
| Florida Limited Liability | 2015-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
