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COMPREHENSIVE SPINE & SPORT INJURY REHAB, LLC

Company Details

Entity Name: COMPREHENSIVE SPINE & SPORT INJURY REHAB, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Mar 2019 (6 years ago)
Document Number: L19000072653
FEI/EIN Number 83-4356984
Address: 14028 5th St, Ste A, Dade City, FL, 33525, US
Mail Address: 14028 5th St, Ste A, Dade City, FL, 33525, US
ZIP code: 33525
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811450554 2019-04-10 2019-04-10 14028 5TH ST STE A, DADE CITY, FL, 335254311, US 14028 5TH ST STE A, DADE CITY, FL, 335254311, US

Contacts

Phone +1 352-600-2232
Fax 3522920136

Authorized person

Name PHILIP SNYDER
Role MBR
Phone 7248752460

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role Address
Panganiban Christine Agent 19220 AUTUMN WOODS AVE, Tampa, FL, 33647

Manager

Name Role
BACK RAP LLC Manager
TAMPA BAY HEALTHCARE ASSOCIATES LLC Manager

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-04-30 Panganiban, Christine No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-30 19220 AUTUMN WOODS AVE, Tampa, FL 33647 No data
CHANGE OF PRINCIPAL ADDRESS 2020-04-07 14028 5th St, Ste A, Dade City, FL 33525 No data
CHANGE OF MAILING ADDRESS 2020-04-07 14028 5th St, Ste A, Dade City, FL 33525 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-07
Florida Limited Liability 2019-03-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State