| Entity Name: | USA LASER SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jun 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000178022 |
| FEI/EIN Number | 85-4262726 |
| Address: | 4728 N. HABANA, STE 303, Tampa, FL, 33614, US |
| Mail Address: | 4532 W Kennedy, Box 108, Tampa, FL, 33609, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932777075 | 2021-06-15 | 2021-06-15 | 4532 W KENNEDY BLVD # 108, TAMPA, FL, 336092042, US | 4728 N HABANA AVE STE 303, TAMPA, FL, 336147183, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 833-752-0404 |
Authorized person
| Name | JENNIFER FRIEND |
| Role | ADMINISTRATOR |
| Phone | 7274949004 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRIEND JENNIFER | Agent | 4728 N. HABANA, Tampa, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| FRIEND JENNIFER A | Manager | 4728 N. HABANA, TAMPA, FL, 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000079943 | DR. ST. LOUIS SPINE | ACTIVE | 2021-06-15 | 2026-12-31 | No data | 4532 WEST KENNEDY BLVD., TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-09-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-29 | 4728 N. HABANA, STE 303, Tampa, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 4728 N. HABANA, STE 303, Tampa, FL 33614 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-15 | FRIEND, JENNIFER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 4728 N. HABANA, STE 303, Tampa, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-15 |
| Florida Limited Liability | 2020-06-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
