| Entity Name: | NECK & BACK PAIN INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Nov 2009 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | P09000091536 |
| FEI/EIN Number | 271269209 |
| Mail Address: | 7456 Seacoast Dr, Parkland, FL, 33067, US |
| Address: | 10250 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065, US |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831428366 | 2009-12-11 | 2016-06-27 | 10251 W SAMPLE ROAD, CORAL SPRINGS, FL, 33065, US | 10251 W SAMPLE ROAD, CORAL SPRINGS, FL, 33065, US | |||||||||||||||||||||||
|
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| Phone | +1 954-575-4045 |
| Fax | 9545755983 |
Authorized person
| Name | DAVID B BASS |
| Role | PRESIDENT |
| Phone | 9545754045 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH3178 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bass David | Agent | 7456 Seacoast Dr, Parkland, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| Bass David B | President | 7456 Seacoast Dr, Parkland, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| Bass David L | Vice President | 7456 Seacoast Dr, Parkland, FL, 33067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000081773 | DR. DAVID BASS | EXPIRED | 2016-08-06 | 2021-12-31 | No data | 10251 W SAMPLE ROAD, STOP 5, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-23 | Bass, David | No data |
| REINSTATEMENT | 2022-12-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-13 | 10250 WEST SAMPLE ROAD, CORAL SPRINGS, FL 33065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-13 | 7456 Seacoast Dr, Parkland, FL 33067 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 10250 WEST SAMPLE ROAD, CORAL SPRINGS, FL 33065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-23 |
| REINSTATEMENT | 2022-12-13 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
