| Entity Name: | NRSA GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 May 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Mar 2020 (5 years ago) |
| Document Number: | L16000089761 |
| FEI/EIN Number | 81-2690537 |
| Address: | 9360 Balm Riverview Rd., Riverview, FL, 33569, US |
| Mail Address: | 5036 Wesley Drive, Tampa, FL, 33647, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427792951 | 2022-04-21 | 2022-04-26 | 9360 BALM RIVERVIEW RD, RIVERVIEW, FL, 335695104, US | 4700 N HABANA AVE STE 202, TAMPA, FL, 336147150, US | |||||||||||||||
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| Phone | +1 813-333-1353 |
| Fax | 8133331618 |
Authorized person
| Name | NOMEN AZEEM |
| Role | DOCTOR/CEO |
| Phone | 8133331353 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Azeem Nomen Dr. | Agent | 5036 Wesley Drive, Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| AZEEM NOMEN | Authorized Member | 5036 Wesley Drive, Tampa, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000033468 | FLORIDA SPINE AND PAIN SPECIALISTS | ACTIVE | 2024-03-05 | 2029-12-31 | No data | 5036 WESLEY DRIVE, TAMPA, FL, 33647 |
| G16000130751 | FLORIDA SPINE & PAIN SPECIALISTS | EXPIRED | 2016-12-06 | 2021-12-31 | No data | 13470 PURPLE FINCH CIRCLE, BRADENTON, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-24 | 9360 Balm Riverview Rd., Riverview, FL 33569 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-24 | Azeem, Nomen, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-24 | 5036 Wesley Drive, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-18 | 9360 Balm Riverview Rd., Riverview, FL 33569 | No data |
| REINSTATEMENT | 2020-03-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-12 |
| REINSTATEMENT | 2020-03-25 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-12 |
| Florida Limited Liability | 2016-05-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2061107406 | 2020-05-05 | 0455 | PPP | 9360 Balm Riverview Rd, RIVERVIEW, FL, 33569-5104 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
