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ORANGE PARK SPINE INSTITUTE LLC - Florida Company Profile

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Company Details

Entity Name: ORANGE PARK SPINE INSTITUTE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2017 (9 years ago)
Document Number: L17000015665
FEI/EIN Number 81-4262541
Address: 1409 KINGSLEY AVENUE, SUITE 9F, ORANGE PARK, FL, 32073, US
Mail Address: 1409 KINGSLEY AVENUE, SUITE 9F, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TOUMBIS CONSTANTINE A Manager 1409 KINGSLEY AVENUE, ORANGE PARK, FL, 32073
TOUMBIS AUTUMN F Authorized Representative 1409 KINGSLEY AVENUE, ORANGE PARK, FL, 32073
TOUMBIS CONSTANTINE A Agent 1409 KINGSLEY AVENUE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1366989246

Authorized Person:

Name:
DR. CONSTANTINE ANDREW TOUMBIS
Role:
PRESIDENT/SURGEON
Phone:

Taxonomy:

Selected Taxonomy:
207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary:
Yes

Contacts:

Fax:
9043751761

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-25 1409 KINGSLEY AVENUE, SUITE 9F, ORANGE PARK, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-03 1409 KINGSLEY AVENUE, SUITE 9F, ORANGE PARK, FL 32073 -
CHANGE OF PRINCIPAL ADDRESS 2018-04-04 1409 KINGSLEY AVENUE, SUITE 9F, ORANGE PARK, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-04
Florida Limited Liability 2017-01-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State