| Entity Name: | TAMPA MINIMALLY INVASIVE SPINE SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jul 2014 (10 years ago) |
| Document Number: | M14000005408 |
| FEI/EIN Number | 47-1211888 |
| Address: | 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 |
| Mail Address: | 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104233014 | 2014-07-14 | 2021-10-22 | 5329 PRIMROSE LAKE CIR, TAMPA, FL, 336473521, US | 5329 PRIMROSE LAKE CIR, TAMPA, FL, 336473521, US | |||||||||||||||
|
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| Phone | +1 813-463-9762 |
| Fax | 8134639764 |
Authorized person
| Name | MR. CHRISTOPHER TODD JONES |
| Role | VICE PRESIDENT/DIRECTOR/OFFICER |
| Phone | 7272813313 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Le, Tien, M.D. | Vice President | 1110 Nikki View Dr., Brandon, FL 33511 |
| Name | Role | Address |
|---|---|---|
| Ahmed, Saeed, Dr. | Secretary | 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| Schulkowski, Rebecca | Director | 4501 Bruce B. Downs Blvd., Wesley Chapel, FL 33544 |
| Name | Role | Address |
|---|---|---|
| Jones, C. Todd | President | 2985 Drew Street, Clearwater, FL 33759 |
| Name | Role | Address |
|---|---|---|
| Tremonti, Carl | Treasurer | 2985 Drew Street, Clearwater, FL 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-27 | BAYCARE HEALTH SYSTEM, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-09 | 2985 DREW STREET, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-07 | 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-03-02 |
| AMENDED ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2020-02-25 |
| AMENDED ANNUAL REPORT | 2019-07-30 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-24 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
