| Entity Name: | TAMPA BAY SPINE & SPORTS MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2019 (5 years ago) |
| Document Number: | L19000218403 |
| FEI/EIN Number | 84-2995860 |
| Address: | 32815 US HWY 19 N, SUITE 200, PALM HARBOR, FL, 34684, US |
| Mail Address: | 32815 US HWY 19 N, SUITE 200, PALM HARBOR, FL, 34684, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659922169 | 2019-09-25 | 2019-09-25 | 32815 US HIGHWAY 19 N STE 200, PALM HARBOR, FL, 346843145, US | 32815 US HIGHWAY 19 N STE 200, PALM HARBOR, FL, 346843145, US | |||||||||||||||
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| Phone | +1 727-412-8541 |
| Fax | 7274128541 |
Authorized person
| Name | DR. ERIC JASON NYE |
| Role | PRESIDENT |
| Phone | 7274128503 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NYE ERIC J | Agent | 32815 US HWY 19 N, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| NYE ERIC J | Authorized Member | 32815 US HWY 19 N STE 200, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| NYE RACHEL | Manager | 32815 US HWY 19 N STE 200, PALM HARBOR, FL, 34684 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-04-06 |
| AMENDED ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2020-03-25 |
| Florida Limited Liability | 2019-08-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
