| Entity Name: | PREMIER NEUROSPINE INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Feb 2019 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Nov 2020 (4 years ago) |
| Document Number: | L19000054909 |
| FEI/EIN Number | 84-2123251 |
| Address: | 5800 49TH ST N SUITE S201, ST PETERSBURG, FL 33709 |
| Mail Address: | 5800 49TH ST N SUITE S201, ST PETERSBURG, FL 33709 |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619520616 | 2019-07-18 | 2022-03-10 | 5800 49TH ST N STE 201, ST PETERSBURG, FL, 337092100, US | 5800 49TH ST N STE 201, ST PETERSBURG, FL, 337092100, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-605-1770 |
Authorized person
| Name | CHRISTOPER J KOEBBE |
| Role | PRESIDENT |
| Phone | 7276051770 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOEBBE, CHRISTOPHER | Agent | 5800 49TH ST N SUITE S-201, ST PETERSBURG, FL 33709 |
| Name | Role | Address |
|---|---|---|
| KOEBBE, CHRISTOPHER | Authorized Member | 175 1st st s 2804, st petersburg, FL 33701 |
| Name | Role | Address |
|---|---|---|
| Chyat, Jamie | Chief Executive Officer | 5800 49TH ST N SUITE S201, ST PETERSBURG, FL 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-16 | 5800 49TH ST N SUITE S201, ST PETERSBURG, FL 33709 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-16 | 5800 49TH ST N SUITE S201, ST PETERSBURG, FL 33709 | No data |
| LC STMNT OF RA/RO CHG | 2020-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-05 | KOEBBE, CHRISTOPHER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-05 | 5800 49TH ST N SUITE S-201, ST PETERSBURG, FL 33709 | No data |
| LC DISSOCIATION MEM | 2019-08-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-26 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-05-06 |
| CORLCRACHG | 2020-11-05 |
| ANNUAL REPORT | 2020-06-29 |
| CORLCDSMEM | 2019-08-07 |
| Florida Limited Liability | 2019-02-25 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
