| Entity Name: | SOUTHERN ORTHOPEDIC SPINE SURGERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | L18000019962 |
| FEI/EIN Number | 82-4182195 |
| Address: | 3110 COUNTRY CLUB DR, LYNN HAVEN, FL, 32444 |
| Mail Address: | 3110 COUNTRY CLUB DR, LYNN HAVEN, FL, 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689179053 | 2018-03-28 | 2018-11-06 | 1399 JENKS AVE BLDG G, PANAMA CITY, FL, 324012442, US | 1399 JENKS AVE BLDG G, PANAMA CITY, FL, 324012442, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 850-771-2001 |
| Fax | 8502154229 |
Authorized person
| Name | CORY R. GAISER |
| Role | OWNER |
| Phone | 8507712001 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAISER CORY R | Agent | 3110 COUNTRY CLUB DR., LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| GAISER CORY R | Manager | 3110 COUNTRY CLUB DR., LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-21 | GAISER, CORY RICHARD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-05-12 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-04-08 |
| Florida Limited Liability | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
