| Entity Name: | GULF COAST BRAIN AND SPINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Feb 2022 (3 years ago) |
| Document Number: | L22000061150 |
| FEI/EIN Number | 88-1346872 |
| Address: | 1045 WITTMAN DR, FORT MYERS, FL 33919 |
| Mail Address: | 1045 WITTMAN DR, FORT MYERS, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164296968 | 2023-11-13 | 2023-11-13 | 10201 ARCOS AVE STE 202, ESTERO, FL, 339289461, US | 10201 ARCOS AVE STE 202, ESTERO, FL, 339289461, US | |||||||||||||||
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| Phone | +1 239-908-3938 |
| Fax | 2396767947 |
Authorized person
| Name | DR. CONSTATINE ELEFTERIOS PLAKAS |
| Role | PRESIDENT |
| Phone | 2399083938 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PLAKAS, CONSTANTINE E | Agent | 1045 WITTMAN DR, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| PLAKAS, CONSTANTINE E | Manager | 1045 WITTMAN DR, FORT MYERS, FL 33919 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-05 |
| Florida Limited Liability | 2022-02-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
