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BACK PAIN INSTITUTE OF FT. MYERS, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WOOTTON BARBARA J Agent 12631 WORLD PLAZA LANE, FT MYERS, FL, 33907

President

Name Role Address
WOOTTON BARBARA J President 12631 WORLD PLAZA LANE BLDG 54, FT MYERS, FL, 33907

Secretary

Name Role Address
WOOTTON BARBARA J Secretary 12631 WORLD PLAZA LANE BLDG 54, FT MYERS, FL, 33907

Events

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

Documents

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