| Entity Name: | BACK TO HEALTH WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 May 2000 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Feb 2001 (24 years ago) |
| Document Number: | P00000050272 |
| FEI/EIN Number | 651000451 |
| Address: | 2920 UNIVERSITY PKWY, SARASOTA, FL, 34243 |
| Mail Address: | 2920 UNIVERSITY PKWY, SARASOTA, FL, 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417065210 | 2006-08-29 | 2020-08-22 | 2920 UNIVERSITY PKWY, SARASOTA, FL, 342432412, US | 2920 UNIVERSITY PKWY, SARASOTA, FL, 342432412, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-351-2555 |
| Fax | 9413598657 |
Authorized person
| Name | DONNA L WEISS |
| Role | OFFICE MANAGER |
| Phone | 9413512555 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6785 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT15223 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 74930 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KUSKIN ROBERT I | Agent | 2920 UNIVERSITY PARKWAY, SARASOTA, FL, 34243 |
| Name | Role | Address |
|---|---|---|
| KUSKIN ROBERT I | Director | 2920 UNIVERSITY PKWY, SARASOTA, FL, 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2005-02-04 | KUSKIN, ROBERT I | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-02-04 | 2920 UNIVERSITY PARKWAY, SARASOTA, FL 34243 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-23 | 2920 UNIVERSITY PKWY, SARASOTA, FL 34243 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-23 | 2920 UNIVERSITY PKWY, SARASOTA, FL 34243 | No data |
| AMENDMENT | 2001-02-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
