| Entity Name: | OSPINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Mar 2021 (4 years ago) |
| Document Number: | L21000123023 |
| FEI/EIN Number | 86-2728052 |
| Address: | 5058 S. FLORIDA AVE, LAKELAND, FL, 33813, US |
| Mail Address: | 5050 S. FLORIDA AVE, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811573017 | 2021-03-19 | 2021-03-29 | 5050 S FLORIDA AVE, LAKELAND, FL, 338132501, US | 5058 S FLORIDA AVE, LAKELAND, FL, 338132510, US | |||||||||||||
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| Phone | +1 863-688-3030 |
Authorized person
| Name | DR. CHUKWUKA C OKAFOR |
| Role | MEDICAL DIRECTOR |
| Phone | 8636883030 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OKAFOR CHUKWUKA C | Agent | 5058 S. Florida Ave, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| OKAFOR CHUKWUKA C | Manager | 5058 S. Florida Ave, LAKELAND, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000046059 | OSPINE SURGICAL CENTER | ACTIVE | 2021-04-05 | 2026-12-31 | No data | 5058 S FLORIDA AVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-09 | 5058 S. Florida Ave, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-29 |
| AMENDED ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| Florida Limited Liability | 2021-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
