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SUNSHINE SPINE AND PAIN SPECIALISTS PLLC - Florida Company Profile

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Company Details

Entity Name: SUNSHINE SPINE AND PAIN SPECIALISTS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Oct 2023 (2 years ago)
Document Number: L21000179705
FEI/EIN Number 863671197
Address: 3920 BEE RIDGE RD, SARASOTA, FL, 34233, US
Mail Address: 3920 BEE RIDGE RD, SARASOTA, FL, 34233, US
ZIP code: 34233
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERNANDEZ PETER MM.D. Manager 1242 SOUTHBAY DR, OSPREY, FL, 34229
FERNANDEZ PETER MM.D. Agent 1242 SOUTHBAY DR, OSPREY, FL, 34229

Unique Entity ID

Unique Entity ID:
Q7DKK4C9JTY8
UEI Expiration Date:
2026-07-11

Business Information

Activation Date:
2025-07-11
Initial Registration Date:
2025-06-18

National Provider Identifier

NPI Number:
1316681034
Certification Date:
2024-03-22

Authorized Person:

Name:
PETER FERNANDEZ
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9418703839

Form 5500 Series

Employer Identification Number (EIN):
863671197
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-10-30 - -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2021-09-30 SUNSHINE SPINE AND PAIN SPECIALISTS, PLLC -
LC NAME CHANGE 2021-08-23 SUNSHINE SPINE AND PAIN SPECIALISTS, LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-17
LC Amendment 2023-10-30
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-17
LC Amended/Restated Article/NC 2021-09-30
LC Name Change 2021-08-23
Florida Limited Liability 2021-04-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State