| Entity Name: | NECK AND BACK PAIN TREATMENT CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 May 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000082329 |
| FEI/EIN Number | 352232847 |
| Address: | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL, 33322 |
| Mail Address: | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL, 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659502631 | 2009-08-07 | 2009-08-07 | 2045 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | 2045 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | |||||||||||||||||||
|
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| Phone | +1 954-587-5700 |
| Fax | 9545875709 |
Authorized person
| Name | DR. LAURENCE JOHN BURCH |
| Role | PRES. |
| Phone | 9545875700 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH0001390 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURCH LAURENCE J | Agent | 601 NW 103 AVE, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| BURCH LAURENCE J | President | 601 NW 103 AVE, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2010-04-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-08 | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL 33322 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-08 | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL 33322 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-27 | 601 NW 103 AVE, PLANTATION, FL 33324 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000582236 | LAPSED | 10-10521 CACE 10 | BROWARD COUNTY | 2010-04-26 | 2015-05-14 | $85,521.09 | HPSC, INC., ONE BEACON STREET, 2ND FLOOR, BOSTON, MA |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-11 |
| ANNUAL REPORT | 2011-02-14 |
| REINSTATEMENT | 2010-04-08 |
| ANNUAL REPORT | 2008-07-10 |
| ANNUAL REPORT | 2007-04-12 |
| ANNUAL REPORT | 2006-03-27 |
| ANNUAL REPORT | 2005-01-03 |
| Domestic Profit | 2004-05-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
