| Entity Name: | FLORIDA NEUROSPINE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 11 Mar 2020 (5 years ago) |
| Document Number: | L19000305539 |
| FEI/EIN Number | 84-3991103 |
| Address: | 180 JFK Drive, Atlantis, FL, 33462, US |
| Mail Address: | 505 NW 1st Ave, Delray Beach, FL, 33444, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912539578 | 2020-02-11 | 2020-02-18 | 140 ADAMS AVE STE B13, HAUPPAUGE, NY, 117883618, US | 10301 HAGEN RANCH RD STE 520, BOYNTON BEACH, FL, 334373734, US | |||||||||||||||
|
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| Phone | +1 631-617-6011 |
| Fax | 6316176023 |
Authorized person
| Name | JUSTIN SILVERSTEIN |
| Role | PRACTICE MANAGER |
| Phone | 6316176011 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTHCARE LAW FIRM | Agent | 151 NW 1ST AVENUE, DELRAY BEACH, FL, 33444 |
| Name | Role | Address |
|---|---|---|
| D'ARIANO GERARD | Manager | 180 JFK DRIVE, ATLANTIS, FL, 33462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000014026 | FLORIDA NEUROSPINE SERVICES | ACTIVE | 2020-01-30 | 2025-12-31 | No data | 180 JOHN F KENNEDY DR, ATLANTIS, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-14 | 180 JFK Drive, Atlantis, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-08 | 180 JFK Drive, Atlantis, FL 33462 | No data |
| LC DISSOCIATION MEM | 2020-03-11 | No data | No data |
| LC NAME CHANGE | 2020-01-15 | FLORIDA NEUROSPINE SERVICES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-12 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-08 |
| CORLCDSMEM | 2020-03-11 |
| LC Name Change | 2020-01-15 |
| Florida Limited Liability | 2019-12-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
