| Entity Name: | SPINE ISLAND INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Oct 2000 (24 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P00000099847 |
| FEI/EIN Number | 651050929 |
| Address: | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL, 33071 |
| Mail Address: | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL, 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093905713 | 2007-07-30 | 2008-05-09 | 10450 W ATLANTIC BLVD, CORAL SPRINGS, FL, 330715605, US | 10450 W ATLANTIC BLVD, CORAL SPRINGS, FL, 330715605, US | |||||||||||||||||||||||||
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| Phone | +1 954-345-2663 |
| Fax | 9545104951 |
Authorized person
| Name | DR. DAVID JAY GOLINGER |
| Role | OWNER |
| Phone | 9543452663 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7634 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381437800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOLINGER DAVID D | Agent | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| GOLINGER DAVID D | President | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| GOLINGER DAVID D | Secretary | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-04 | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL 33071 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-16 | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-16 | 10450 W. ATLANTIC BLVD, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-01-05 | GOLINGER, DAVID DR | No data |
| CANCEL ADM DISS/REV | 2003-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-04 |
| ANNUAL REPORT | 2009-06-16 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-02-26 |
| ANNUAL REPORT | 2006-01-16 |
| ANNUAL REPORT | 2005-01-17 |
| ANNUAL REPORT | 2004-01-05 |
| REINSTATEMENT | 2003-10-17 |
| ANNUAL REPORT | 2002-02-17 |
| ANNUAL REPORT | 2001-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
