| Entity Name: | 360 ORTHO AND SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2019 (6 years ago) |
| Document Number: | L19000045839 |
| FEI/EIN Number | 83-3595356 |
| Address: | 11809 N Dale Mabry Hwy, TAMPA, FL, 33618, US |
| Mail Address: | 11809 N Dale Mabry Hwy, Tampa, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972062685 | 2019-03-13 | 2019-07-26 | 11809 N DALE MABRY HWY, TAMPA, FL, 336183505, US | 11809 N DALE MABRY HWY, TAMPA, FL, 336183505, US | |||||||||||||||
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| Phone | +1 833-367-4968 |
| Fax | 8333674968 |
Authorized person
| Name | JULIE BARTLETT |
| Role | ADMINSTRATOR |
| Phone | 8333674968 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 360 ORTHO AND SPINE 401(K) PLAN | 2023 | 833595356 | 2024-02-09 | 360 ORTHO AND SPINE, LLC | 1 | |||||||||||||
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| 360 ORTHO AND SPINE DEFINED BENEFIT PLAN | 2023 | 833595356 | 2024-02-09 | 360 ORTHO AND SPINE, LLC | 1 | |||||||||||||
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| 360 ORTHO AND SPINE DEFINED BENEFIT PLAN | 2022 | 833595356 | 2023-04-05 | 360 ORTHO AND SPINE, LLC | 2 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Prada Stefan ADr. | Agent | 11809 N Dale Mabry Hwy, Tampa, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| PRADA STEFAN A | Manager | 11809 N Dale Mabry Hwy, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-02 | 11809 N Dale Mabry Hwy, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-02 | 11809 N Dale Mabry Hwy, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-02 | Prada, Stefan A, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-02 | 11809 N Dale Mabry Hwy, Tampa, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-04-02 |
| Florida Limited Liability | 2019-02-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
