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SARASOTA LASER AND SPINE CENTER, LLC

Company Details

Entity Name: SARASOTA LASER AND SPINE CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Aug 2019 (5 years ago)
Document Number: L19000207217
FEI/EIN Number 84-3117005
Address: 903 OSBORNE DRIVE, SARASOTA, FL, 34234, US
Mail Address: 903 OSBORNE DRIVE, SARASOTA, FL, 34234, US
ZIP code: 34234
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154148930 2024-09-24 2024-09-24 903 OSBORNE DR, SARASOTA, FL, 342344333, US 903 OSBORNE DR, SARASOTA, FL, 342344333, US

Contacts

Phone +1 941-402-4003
Fax 9412149595

Authorized person

Name MICHAEL H SALOMON
Role OFFICE MANAGER
Phone 7326780264

Taxonomy

Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARASOTA LASER AND SPINE CENTER, LLC 401(K) PROFIT SHARING PLAN 2023 843117005 2024-09-26 SARASOTA LASER AND SPINE CENTER, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 5618334869
Plan sponsor’s address 903 OSBORNE DR., SARASOTA, FL, 34234

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing PASQUALE MONTESANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-26
Name of individual signing PASQUALE MONTESANO
Valid signature Filed with authorized/valid electronic signature
SARASOTA LASER AND SPINE CENTER, LLC 401(K) PROFIT SHARING PLAN 2022 843117005 2023-09-22 SARASOTA LASER AND SPINE CENTER, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 5618334869
Plan sponsor’s address 903 OSBORNE DR., SARASOTA, FL, 34234

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing PASQUALE MONTESANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing PASQUALE MONTESANO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LICHTBLAU NEAL Agent 600 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 33408

President

Name Role Address
MONTESANO PASQUALE X President 903 OSBORNE DRIVE, SARASOTA, FL, 34234

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000034672 MONTESANO SPINE AND SPORT EAST ACTIVE 2021-03-11 2026-12-31 No data 903 OSBORNE DR, SARASOTA, FL, 34234

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-30 903 OSBORNE DRIVE, SARASOTA, FL 34234 No data
CHANGE OF MAILING ADDRESS 2021-04-30 903 OSBORNE DRIVE, SARASOTA, FL 34234 No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-03-22
AMENDED ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-04-30
Florida Limited Liability 2019-08-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State