Entity Name: | BACK PAIN INSTITUTE OF FT. MYERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Aug 2007 (18 years ago) |
Date of dissolution: | 22 Sep 2017 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (7 years ago) |
Document Number: | P07000088695 |
FEI/EIN Number | 260667318 |
Address: | 12631 WORLD PLAZA LANE, BUILDING 54, FT MYERS, FL, 33907, US |
Mail Address: | 12631 WORLD PLAZA LANE, BUILDING 54, FT MYERS, FL, 33907, US |
ZIP code: | 33907 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942469184 | 2008-06-03 | 2013-06-07 | 12631 WORLD PLAZA LN # 54, FORT MYERS, FL, 339073990, US | 12631 WORLD PLAZA LN # 54, FORT MYERS, FL, 339073990, US | |||||||||||||||||||
|
Phone | +1 239-936-2225 |
Fax | 2399360075 |
Authorized person
Name | DR. JAMES ROBERT WOOTTON |
Role | PRESIDENT/OWNER |
Phone | 2399362225 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH1324 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WOOTTON BARBARA J | Agent | 12631 WORLD PLAZA LANE, FT MYERS, FL, 33907 |
Name | Role | Address |
---|---|---|
WOOTTON BARBARA J | President | 12631 WORLD PLAZA LANE BLDG 54, FT MYERS, FL, 33907 |
Name | Role | Address |
---|---|---|
WOOTTON BARBARA J | Secretary | 12631 WORLD PLAZA LANE BLDG 54, FT MYERS, FL, 33907 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
AMENDMENT | 2016-10-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-10-27 | WOOTTON, BARBARA J | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-04-27 | 12631 WORLD PLAZA LANE, BUILDING 54, FT MYERS, FL 33907 | No data |
CHANGE OF MAILING ADDRESS | 2016-04-27 | 12631 WORLD PLAZA LANE, BUILDING 54, FT MYERS, FL 33907 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-03-13 | 12631 WORLD PLAZA LANE, BUILDING 54, FT MYERS, FL 33907 | No data |
Name | Date |
---|---|
Amendment | 2016-10-27 |
ANNUAL REPORT | 2016-04-27 |
ANNUAL REPORT | 2015-02-20 |
ANNUAL REPORT | 2014-03-13 |
ANNUAL REPORT | 2013-04-29 |
ANNUAL REPORT | 2012-03-27 |
ANNUAL REPORT | 2011-04-22 |
ANNUAL REPORT | 2010-03-29 |
ANNUAL REPORT | 2009-01-06 |
ANNUAL REPORT | 2008-05-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State