| Entity Name: | INNOVARA SPINE & PAIN CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2024 (5 months ago) |
| Document Number: | L24000360327 |
| Address: | 2244 NW 7TH STREET, MIAMI, FL 33125 |
| Mail Address: | 2244 NW 7TH STREET, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003635491 | 2024-10-03 | 2024-10-03 | 2244 NW 7TH ST, MIAMI, FL, 331253331, US | 2244 NW 7TH ST, MIAMI, FL, 331253331, US | |||||||||||||||
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| Phone | +1 305-985-5835 |
| Fax | 3058452017 |
Authorized person
| Name | RAYMOND G TOLMOS |
| Role | PRESIDENT |
| Phone | 3054948698 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOLMOS, RAYMOND | Agent | 2244 NW 7TH STREET, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| THE BOARD OF MANAGERS | Manager | 2244 NW 7TH STREET, MIAMI, FL 33125 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-16 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
