Entity Name: | THE BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Mar 2016 (9 years ago) |
Document Number: | L16000043524 |
FEI/EIN Number | 81-1694342 |
Address: | 3519 Palm Harbor Blvd., Suite B, Palm Harbor, FL, 34683, US |
Mail Address: | 3519 Palm Harbor Blvd., Suite B, Palm Harbor, FL, 34683, US |
ZIP code: | 34683 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1508595414 | 2022-06-07 | 2022-06-07 | 3519 PALM HARBOR BLVD STE B, PALM HARBOR, FL, 346831416, US | 17849 HUNTING BOW CIR STE 101, LUTZ, FL, 335585397, US | |||||||||||||||
|
Phone | +1 813-336-4461 |
Fax | 8133364466 |
Authorized person
Name | JOHN SELIM SOLIMAN |
Role | OWNER |
Phone | 8133364461 |
Taxonomy
Taxonomy Code | 207T00000X - Neurological Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WEHLE GERARD F | Agent | 6987 EAST FOWLER AVE, TAMPA, FL, 33617 |
Name | Role | Address |
---|---|---|
SOLIMAN JOHN S | Manager | 3519 Palm Harbor Blvd., Palm Harbor, FL, 34683 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-08-24 | 3519 Palm Harbor Blvd., Suite B, Palm Harbor, FL 34683 | No data |
CHANGE OF MAILING ADDRESS | 2022-08-24 | 3519 Palm Harbor Blvd., Suite B, Palm Harbor, FL 34683 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-03 |
ANNUAL REPORT | 2023-01-26 |
AMENDED ANNUAL REPORT | 2022-08-24 |
ANNUAL REPORT | 2022-04-26 |
ANNUAL REPORT | 2021-03-17 |
ANNUAL REPORT | 2020-02-21 |
ANNUAL REPORT | 2019-03-11 |
ANNUAL REPORT | 2018-03-26 |
ANNUAL REPORT | 2017-03-29 |
Florida Limited Liability | 2016-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State