| Entity Name: | PNS23AH01 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Oct 2022 (2 years ago) |
| Document Number: | L22000462639 |
| FEI/EIN Number | 88-4227309 |
| Mail Address: | 17 NW 33RD CT, GAINESVILLE, FL, 32607 |
| Address: | 4412 N Davis HWY, PENSACOLA, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962129197 | 2022-10-27 | 2022-10-27 | 17 NW 33RD CT, GAINESVILLE, FL, 326072552, US | 4711 SCENIC HWY, PENSACOLA, FL, 325049018, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-503-1065 |
| Fax | 9043746075 |
Authorized person
| Name | DR. ALEX HUGGINS |
| Role | MGR |
| Phone | 5612228208 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0301X - Brain Injury Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| GAINESVILLE HEALTHCARE SERVICES, LLC | Agent |
| Name | Role |
|---|---|
| GAINESVILLE HEALTHCARE SERVICES, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000107307 | MEDICUS SPINE & JOINT | ACTIVE | 2023-09-07 | 2028-12-31 | No data | 4711 SCENIC HWY, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 4412 N Davis HWY, PENSACOLA, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-10-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
