| Entity Name: | SPINE & PAIN INSTITUTE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Jul 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000181799 |
| FEI/EIN Number | 83-1390190 |
| Address: | 1417 Lakeland Hills Blvd, Lakeland, FL, 33805, US |
| Mail Address: | 1417 Lakeland Hills Blvd, Lakeland, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477118305 | 2019-05-06 | 2019-08-22 | 1417 LAKELAND HILLS BLVD STE 201, LAKELAND, FL, 338053208, US | 1417 LAKELAND HILLS BLVD STE 201, LAKELAND, FL, 338053208, US | |||||||||||||||
|
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| Phone | +1 833-513-7246 |
| Fax | 8633334007 |
Authorized person
| Name | NAVDEEP JASSAL |
| Role | OWNER |
| Phone | 8335137246 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JASSAL NAVDEEP SDR. | Agent | 449 SOUTH 12TH STREET, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| JASSAL NAVDEEP SDR. | Manager | 449 SOUTH 12TH STREET UNIT 2404, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-22 | 1417 Lakeland Hills Blvd, Suite 201, Lakeland, FL 33805 | No data |
| CHANGE OF MAILING ADDRESS | 2019-07-22 | 1417 Lakeland Hills Blvd, Suite 201, Lakeland, FL 33805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-07-22 |
| Florida Limited Liability | 2018-07-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
