| Entity Name: | TOTAL PAIN AND SPINE CARE OF FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jul 2020 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L20000224576 |
| FEI/EIN Number | 852173572 |
| Address: | 2310 NORTH BLVD WEST, SUITE A, DAVENPORT, FL, 33837, US |
| Mail Address: | 2310 NORTH BLVD WEST, SUITE A, DAVENPORT, FL, 33837, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922612373 | 2020-09-03 | 2020-10-05 | 3818 W VASCONIA ST, TAMPA, FL, 336298630, US | 2310 NORTH BLVD W STE A, DAVENPORT, FL, 338378988, US | |||||||||||||||||||
|
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| Phone | +1 863-732-7246 |
| Fax | 8632562520 |
Authorized person
| Name | DR. NEAL SHAH |
| Role | OWNER |
| Phone | 8637327246 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH NEAL | Agent | 3818 WEST VASCONIA STREET, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| SHAH NEAL | Manager | 3818 WEST VASCONIA STREET, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC STMNT OF AUTHORITY | 2020-09-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-21 | 2310 NORTH BLVD WEST, SUITE A, DAVENPORT, FL 33837 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-21 | 2310 NORTH BLVD WEST, SUITE A, DAVENPORT, FL 33837 | No data |
| LC AMENDMENT | 2020-09-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-07-28 |
| CORLCAUTH | 2020-09-21 |
| LC Amendment | 2020-09-18 |
| Florida Limited Liability | 2020-07-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
