| Entity Name: | FL SPINE & MEDICAL CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FL SPINE & MEDICAL CENTER, PLLC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 Dec 2016 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L16000231330 |
| FEI/EIN Number |
814774077
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1799 Sunrise Blvd, CLEARWATER, FL, 33760, US |
| Mail Address: | 1799 Sunrise Blvd, CLEARWATER, FL, 33760, US |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942746763 | 2017-01-18 | 2017-01-18 | 1531 S MISSOURI AVE, CLEARWATER, FL, 337562236, US | 1531 S MISSOURI AVE, CLEARWATER, FL, 337562236, US | |||||||||||||||||||
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| Phone | +1 727-799-2225 |
| Fax | 7277992226 |
Authorized person
| Name | DR. MARK KANTZLER |
| Role | MGR |
| Phone | 7277992225 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5165 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wood Brandon SDr. | Manager | 1799 Sunrise Blvd, CLEARWATER, FL, 33760 |
| WOOD BRANDON S | Agent | 1799 Sunrise Blvd, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-23 | 1799 Sunrise Blvd, CLEARWATER, FL 33760 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-23 | 1799 Sunrise Blvd, CLEARWATER, FL 33760 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-23 | 1799 Sunrise Blvd, CLEARWATER, FL 33760 | - |
| LC STMNT OF RA/RO CHG | 2018-04-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-02 | WOOD, BRANDON S | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-29 |
| Florida Limited Liability | 2016-12-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5015898800 | 2021-04-17 | 0455 | PPP | 1799 Sunrise Blvd, Clearwater, FL, 33760-1548 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
