| Entity Name: | PREMIER SPINE & PAIN CENTER, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PREMIER SPINE & PAIN CENTER, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Oct 2007 (17 years ago) |
| Document Number: | P07000112760 |
| FEI/EIN Number |
261239876
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1543 KINGSLEY AVENUE, BLDG. 3, ORANGE PARK, FL, 32073 |
| Mail Address: | PO Box 686, ORANGE PARK, FL, 32067, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679762876 | 2007-10-24 | 2013-04-12 | 1543 KINGSLEY AVE STE 3, ORANGE PARK, FL, 320734583, US | 1543 KINGSLEY AVE STE 3, ORANGE PARK, FL, 320734583, US | |||||||||||||||
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| Phone | +1 904-264-0770 |
| Fax | 9042640670 |
Authorized person
| Name | DR. ASHRAF G ANDRAWIS |
| Role | PRESIDENT |
| Phone | 9042640770 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER SPINE & PAIN CENTER, PA CASH BALANCE PLAN | 2014 | 261239876 | 2015-10-13 | PREMIER SPINE & PAIN CENTER PA | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-13 |
| Name of individual signing | ASHRAF ANDRAWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Andrawis Ashraf | President | 138 passage drive, fleming island, FL, 32003 |
| Andrawis Ashraf | Vice President | 138 passage drive, fleming island, FL, 32003 |
| Andrawis Jackie | Manager | 1543 KINGSLEY AVENUE, ORANGE PARK, FL, 32073 |
| ANDRAWIS ASHRAF | Agent | 1543 KINGSLEY AVENUE, Orange Park, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-15 | 1543 KINGSLEY AVENUE, Building 3, Orange Park, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2014-03-12 | 1543 KINGSLEY AVENUE, BLDG. 3, ORANGE PARK, FL 32073 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-06 | 1543 KINGSLEY AVENUE, BLDG. 3, ORANGE PARK, FL 32073 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-22 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
