| Entity Name: | BRAIN AND SPINE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Mar 1999 (26 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 26 Jul 2001 (24 years ago) |
| Document Number: | L99000001846 |
| FEI/EIN Number | 593572738 |
| Address: | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405, US |
| Mail Address: | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942317896 | 2006-08-25 | 2023-05-01 | 2202 STATE AVE STE 201, PANAMA CITY, FL, 324054582, US | 2202 STATE AVE STE 201, PANAMA CITY, FL, 324054582, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-785-0029 |
| Fax | 8507857600 |
Authorized person
| Name | KYLIE M MARLETTE |
| Role | CREDENTIALING SPECIALIST |
| Phone | 8502151593 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REA TORI CEO | Agent | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| STRINGER-MADDOX KARIN | Managing Member | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405 |
| ELZAWAHRY M KAMEL | Managing Member | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| NAZIR KHURRAM Dr. | Manager | 2202 STATE AVE, STE 201, Panama City, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000102415 | BRAIN AND SPINE SPECIALISTS | ACTIVE | 2019-09-18 | 2029-12-31 | No data | 2202 STATE AVE, STE 201, PANAMA CITY, FL, 32405 |
| G10000089831 | BRAIN & SPINE CENTER | EXPIRED | 2010-09-30 | 2015-12-31 | No data | 2011 N HARRISON AVE, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-20 | 2202 STATE AVE, STE 201, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-20 | 2202 STATE AVE, STE 201, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-20 | REA, TORI, CEO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-20 | 2202 STATE AVE, STE 201, PANAMA CITY, FL 32405 | No data |
| AMENDED AND RESTATEDARTICLES | 2001-07-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-20 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
