| Entity Name: | SPINE PAIN CLINIC OF FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Sep 2018 (6 years ago) |
| Document Number: | L18000220815 |
| FEI/EIN Number | 83-1953922 |
| Address: | 141, Jupiter, FL, 33458, US |
| Mail Address: | 141 via rosina, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851866990 | 2018-10-04 | 2019-12-09 | 140 JUPITER LAKES BLVD STE A, JUPITER, FL, 334587196, US | 1040 37TH PL STE 102, VERO BEACH, FL, 329604808, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-229-3744 |
Authorized person
| Name | JOSE LUIS ORTEGA |
| Role | PRESIDENT |
| Phone | 5612293744 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTEGA JOSE MD | Agent | 141 via rosina, Jupiter, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| ORTEGA GINEEN | Authorized Person | 141 via rosina, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 141, Jupiter, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-03 | 141, Jupiter, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 141 via rosina, Jupiter, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-09-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
