| Entity Name: | STAR ORTHOPEDICS AND SPINE OF TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Nov 2022 (2 years ago) |
| Document Number: | L22000491349 |
| FEI/EIN Number | 92-1115001 |
| Address: | 10676 BLOOMINGDALE AVE., #3, RIVERVIEW, FL 33578 |
| Mail Address: | 10676 BLOOMINGDALE AVE., #3, RIVERVIEW, FL 33578 |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801506571 | 2022-12-02 | 2022-12-02 | 10676 BLOOMINGDALE AVE # 3, RIVERVIEW, FL, 335784292, US | 10676 BLOOMINGDALE AVE # 3, RIVERVIEW, FL, 335784292, US | |||||||||||||
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| Phone | +1 813-302-1714 |
Authorized person
| Name | HILLARY KOERNER |
| Role | OFFICE MANAGER |
| Phone | 5619083200 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUPPINGER, JORDAN | Agent | 2130 Michigan Ave, PMB 312, Kissimmee, FL 34744 |
| Name | Role | Address |
|---|---|---|
| KUPPINGER, JORDAN | Manager | 2130 Michigan Ave, PMB 312 Kissimmee, FL 34744 |
| RUBANO, ANGELO M, DC | Manager | 112 N. 12TH ST. UNIT 2101, TAMPA, FL 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-13 | 2130 Michigan Ave, PMB 312, Kissimmee, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-09 |
| Florida Limited Liability | 2022-11-16 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
