| Entity Name: | SPINE THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Feb 2004 (21 years ago) |
| Date of dissolution: | 22 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Dec 2023 (a year ago) |
| Document Number: | P04000031715 |
| FEI/EIN Number | 203060765 |
| Address: | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL, 33607 |
| Mail Address: | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL, 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396066239 | 2010-06-15 | 2018-10-11 | 2300 E. NORVELL BRYAUT HWY, SPINE THERAPY INC, HERNANDO, FL, 344428902, US | 4211 W BOY SCOUT BLVD STE 400, TAMPA, FL, 336075766, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 352-341-4778 |
| Fax | 3523414477 |
| Phone | +1 813-443-2108 |
| Fax | 8134438255 |
Authorized person
| Name | MR. JAMES JOSEPH RONZO |
| Role | OWNER |
| Phone | 3526972341 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE SHIELD |
| Number | Y927L |
| State | FL |
| Issuer | RAIL ROAD MEDICARE |
| Number | DF4724 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RONZO JAMES J | Agent | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| RONZO JAMES J | President | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| RONZO JAMES J | Director | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-26 | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-26 | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL 33607 | No data |
| AMENDMENT | 2015-10-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-26 | 4211 W. BOY SCOUT BLVD - STE. 400, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-26 | RONZO, JAMES J | No data |
| AMENDMENT | 2015-02-06 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-22 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-01-25 |
| Amendment | 2015-10-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
