| Entity Name: | SPINE DIAGNOSTICS & INTERVENTIONAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Nov 2005 (19 years ago) |
| Date of dissolution: | 02 Jul 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Jul 2021 (4 years ago) |
| Document Number: | P05000154399 |
| FEI/EIN Number | 223918275 |
| Address: | 1948 CAROLINA AVENUE, NE, SAINT PETERSBURG, FL, 33703, US |
| Mail Address: | 1948 CAROLINA AVENUE, NE, SAINT PETERSBURG, FL, 33703, US |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700827649 | 2006-06-10 | 2009-03-09 | PO BOX 152199, TAMPA, FL, 336842199, US | 2808 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076306, US | |||||||||||||||||||
|
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| Phone | +1 813-872-9200 |
| Fax | 8138755101 |
Authorized person
| Name | DR. GREGORY T FLYNN |
| Role | OWNER/MEDICAL DIRECTOR |
| Phone | 8138729200 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME37627 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLYNN GREGORY T | Agent | 1948 Carolina Ave NE, St. Petersburg, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| FLYNN GREGORY T | President | 1948 Carolina Ave NE, St. Petersburg, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| FLYNN GREGORY T | Secretary | 1948 Carolina Ave NE, St. Petersburg, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| FLYNN GREGORY T | Treasurer | 1948 Carolina Ave NE, St. Petersburg, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| FLYNN GREGORY T | Director | 1948 Carolina Ave NE, St. Petersburg, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-02 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 1948 Carolina Ave NE, St. Petersburg, FL 33703 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 1948 CAROLINA AVENUE, NE, SAINT PETERSBURG, FL 33703 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 1948 CAROLINA AVENUE, NE, SAINT PETERSBURG, FL 33703 | No data |
| REINSTATEMENT | 2007-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-11-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-11-14 | FLYNN, GREGORY TMD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-02 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
