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BRAIN SPINE AND SLEEP INSTITUTE LLC - Florida Company Profile

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Company Details

Entity Name: BRAIN SPINE AND SLEEP INSTITUTE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BRAIN SPINE AND SLEEP INSTITUTE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Jul 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Apr 2024 (a year ago)
Document Number: L16000135728
FEI/EIN Number 81-3319008

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1120 Carlton Ave, Lake Wales, FL, 33853, US
Mail Address: 1120 Carlton Ave, Lake Wales, FL, 33853, US
ZIP code: 33853
City: Lake Wales
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOUSLI HASAN Manager 1120 Carlton Ave, Lake Wales, FL, 33853
Abbas Zeena Manager 1120 Carlton Ave, Lake Wales, FL, 33853
MOUSLI HASAN MDr. Agent 1120 Carlton Ave, Lake Wales, FL, 33853

National Provider Identifier

NPI Number:
1386190734

Authorized Person:

Name:
HASAN M MOUSLI
Role:
OWNER/MD
Phone:

Taxonomy:

Selected Taxonomy:
2084P2900X - Pain Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
2084S0012X - Sleep Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
8636763124

Form 5500 Series

Employer Identification Number (EIN):
813319008
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-07 1120 Carlton Ave, Suite 1300, Lake Wales, FL 33853 -
CHANGE OF PRINCIPAL ADDRESS 2025-02-07 1120 Carlton Ave, Suite 1300, Lake Wales, FL 33853 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-07 1120 Carlton Ave, Suite 1300, Lake Wales, FL 33853 -
REGISTERED AGENT NAME CHANGED 2024-04-17 MOUSLI, HASAN M, Dr. -
REINSTATEMENT 2024-04-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2020-06-30 1120 Carlton Ave, Suite 1300, WINTER HAVEN, FL 33853 -
CHANGE OF MAILING ADDRESS 2020-06-30 1120 Carlton Ave, Suite 1300, WINTER HAVEN, FL 33853 -
CHANGE OF PRINCIPAL ADDRESS 2020-06-30 1120 Carlton Ave, Suite 1300, WINTER HAVEN, FL 33853 -

Documents

Name Date
ANNUAL REPORT 2025-02-07
REINSTATEMENT 2024-04-17
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-04-04
Florida Limited Liability 2016-07-19

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
81400.00
Total Face Value Of Loan:
81400.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$81,400
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$81,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$82,555.21
Servicing Lender:
Seacoast National Bank
Use of Proceeds:
Payroll: $81,400

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Date of last update: 03 Jul 2025

Sources: Florida Department of State