| Entity Name: | ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Apr 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Sep 2023 (2 years ago) |
| Document Number: | L19000107432 |
| FEI/EIN Number |
83-4580082
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080, US |
| Mail Address: | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080, US |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386201960 | 2019-05-20 | 2019-08-05 | 1301 PLANTATION ISLAND DR S STE 302A, ST AUGUSTINE, FL, 320803117, US | 1301 PLANTATION ISLAND DR S STE 302A, ST AUGUSTINE, FL, 320803117, US | |||||||||||||||||||||||||||
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| Phone | +1 904-461-9330 |
| Fax | 9044619330 |
| Phone | +1 312-952-4422 |
Authorized person
| Name | ADNAN FARUQI |
| Role | OWNER |
| Phone | 3129524422 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME140144 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FARUQI ADNAN | Vice President | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080 |
| Kudia Ramsha | President | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080 |
| Kudia Furrin | Manager | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080 |
| Faruqi Adnan Dr. | Agent | 1301 Plantation Island Drive S, SAINT AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-26 | 1301 Plantation Island Drive S, STE 402B, SAINT AUGUSTINE, FL 32080 | - |
| CHANGE OF MAILING ADDRESS | 2023-09-26 | 1301 Plantation Island Drive S, STE 402B, SAINT AUGUSTINE, FL 32080 | - |
| REGISTERED AGENT NAME CHANGED | 2023-09-26 | Faruqi, Adnan, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-26 | 1301 Plantation Island Drive S, STE 402B, SAINT AUGUSTINE, FL 32080 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000707586 | ACTIVE | 1000001018681 | ST JOHNS | 2024-10-31 | 2034-11-06 | $ 645.37 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-16 |
| REINSTATEMENT | 2023-09-26 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-23 |
| Florida Limited Liability | 2019-04-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8611517305 | 2020-05-01 | 0491 | PPP | 104 Marshall Creek Drive, St Augustine, FL, 32095 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
