| Entity Name: | SPINE & REHAB MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Nov 1998 (26 years ago) |
| Document Number: | P98000097773 |
| FEI/EIN Number | 593544205 |
| Address: | 1234 MARINER BLVD, SPRING HILL, FL, 34609, US |
| Mail Address: | P.O. BOX 1989, LUTZ, FL, 33548-1989, US |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871649566 | 2007-01-26 | 2010-09-16 | PO BOX 1989, LUTZ, FL, 335481989, US | 1234 MARINER BLVD, SPRING HILL, FL, 34606, US | |||||||||||||||||||
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| Phone | +1 352-688-3301 |
| Fax | 3526883302 |
Authorized person
| Name | DR. SUHAS MURLIDHAR KULKARNI |
| Role | PRESIDENT |
| Phone | 3526883301 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME0071891 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KULKARNI SUHAS | Agent | 1234 MARINER BLVD, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| KULKARNI SUHAS | President | 1234 MARINER BLVD, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 1234 MARINER BLVD, SPRING HILL, FL 34609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-24 | 1234 MARINER BLVD, SPRING HILL, FL 34609 | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-10 | 1234 MARINER BLVD, SPRING HILL, FL 34609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
