| Entity Name: | FIRST COAST PAIN & SPINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Feb 2010 (15 years ago) |
| Date of dissolution: | 26 Mar 2012 (13 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Mar 2012 (13 years ago) |
| Document Number: | L10000017638 |
| FEI/EIN Number | 271938064 |
| Address: | 100 WHETSTONE PLACE, SUITE 310, ST. AUGUSTINE, FL, 32086 |
| Mail Address: | 100 WHETSTONE PLACE, SUITE 310, ST. AUGUSTINE, FL, 32086 |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720302946 | 2010-03-17 | 2010-06-17 | PO BOX 830941, BIRMINGHAM, AL, 352830941, US | 100 WHETSTONE PL STE 310, ST AUGUSTINE, FL, 320865775, US | |||||||||||||||
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| Phone | +1 866-480-2246 |
| Phone | +1 904-819-4478 |
Authorized person
| Name | DR. MICHAEL ADKISON |
| Role | PRESIDENT |
| Phone | 9048194478 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REZNICSEK, FRASER, HASTING, WHITE & SHAFFE | Agent | 4230 PABLO PROFESSIONAL COURT, SUITE 200, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| ADKISON M. GREGORY M | Manager | 100 WHETSTONE PLACE, SUITE 310, ST. AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2012-03-26 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2012-03-26 |
| ANNUAL REPORT | 2011-02-23 |
| Florida Limited Liability | 2010-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
