| Entity Name: | ADVANCED SPINE AND SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Mar 2024 (10 months ago) |
| Document Number: | L24000150625 |
| Address: | 627 BAYSHORE DRIVE, TARPON SPRINGS, FL 34689 |
| Mail Address: | 627 BAYSHORE DRIVE, TARPON SPRINGS, FL 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881434421 | 2024-05-30 | 2024-05-30 | 1046 W BUSCH BLVD STE 100, TAMPA, FL, 336127714, US | 1046 W BUSCH BLVD STE 100, TAMPA, FL, 336127714, US | |||||||||||||
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| Phone | +1 813-524-7246 |
Authorized person
| Name | THEOPHILOS SKANDALIARIS |
| Role | DC |
| Phone | 8135247246 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SKANDALIARIS, THEOPHILOS | Agent | 627 BAYSHORE DRIVE, TARPON SPRINGS, FL 34689 |
| Name | Role | Address |
|---|---|---|
| SKANDALIARIS, THEOPHILOS | Manager | 627 BAYSHORE DRIVE, TARPON SPRINGS, FL 34689 |
| LINARDOS, LEONARD | Manager | 627 BAYSHORE DRIVE, TARPON SPRINGS, FL 34689 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-28 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
