| Entity Name: | MICROSPINE SURGERY CENTER DEFUNIAK SPRINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MICROSPINE SURGERY CENTER DEFUNIAK SPRINGS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Mar 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L03000011444 |
| FEI/EIN Number |
432006927
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 32435, US |
| Mail Address: | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 32435, US |
| ZIP code: | 32435 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306891718 | 2006-05-23 | 2007-10-09 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 324356323, US | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 324356323, US | |||||||||||||||||||||||||
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| Phone | +1 850-892-6001 |
| Fax | 8508924212 |
Authorized person
| Name | ANGEL D BARBER |
| Role | ADMINISTRATOR |
| Phone | 8508926001 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1155 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | 6B7 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARBER ANGEL D | Agent | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 32435 |
| MICROSPINE, INC., A NEVADA CORPORATION | Manager | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 32435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-20 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435 | - |
| CHANGE OF MAILING ADDRESS | 2007-03-20 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-20 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000377684 | LAPSED | 11CA000341 | WALTON COUNTY CIRCUIT COURT | 2011-04-28 | 2016-06-16 | $90,509.97 | OLYMPUS AMERICA INC., 3500 CORPORATE PARKWAY, CENTER VALLEY PA 18034 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-29 |
| ANNUAL REPORT | 2009-01-28 |
| ANNUAL REPORT | 2008-01-09 |
| ANNUAL REPORT | 2007-03-20 |
| ANNUAL REPORT | 2006-01-17 |
| ANNUAL REPORT | 2005-04-19 |
| ANNUAL REPORT | 2004-07-14 |
| Florida Limited Liability | 2003-03-31 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 339545550 | 0419700 | 2014-01-14 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 32435 | |||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
