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INNOVARA SPINE & PAIN CENTER LLC - Florida Company Profile

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Company Details

Entity Name: INNOVARA SPINE & PAIN CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Aug 2024 (a year ago)
Document Number: L24000360327
FEI/EIN Number 99-4839638
Address: 2244 NW 7TH STREET, MIAMI, FL, 33125, US
Mail Address: 2244 NW 7TH STREET, MIAMI, FL, 33125, US
ZIP code: 33125
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THE BOARD OF MANAGERS Manager 2244 NW 7TH STREET, MIAMI, FL, 33125
TOLMOS RAYMOND Agent 2244 NW 7TH STREET, MIAMI, FL, 33125

National Provider Identifier

NPI Number:
1003635491
Certification Date:
2024-10-03

Authorized Person:

Name:
RAYMOND G TOLMOS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
3058452017

Documents

Name Date
Florida Limited Liability 2024-08-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State