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FL NEURO PAIN AND SPINE CENTER, P.A. - Florida Company Profile

Company Details

Entity Name: FL NEURO PAIN AND SPINE CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FL NEURO PAIN AND SPINE CENTER, P.A. 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: 17 Sep 2010 (14 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 16 Sep 2013 (12 years ago)
Document Number: P10000076520
FEI/EIN Number 800646626

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1008 JENKS AVE, PANAMA CITY, FL, 32401
Mail Address: P.O. Box 2, PANAMA CITY, FL, 32402, US
ZIP code: 32401
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023650595 2019-10-16 2023-12-12 2614 JENKS AVE, PANAMA CITY, FL, 324054311, US 2614 JENKS AVE, PANAMA CITY, FL, 32405, US

Contacts

Phone +1 850-215-3000
Fax 8502153150

Authorized person

Name WESLEY JOHNSON
Role OWNER
Phone 8502153000

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 006J1
State FL

Key Officers & Management

Name Role Address
JOHNSON WESLEY President 1008 Jenks Ave, PANAMA CITY, FL, 32401
JOHNSON WESLEY Director 1008 Jenks Ave, PANAMA CITY, FL, 32401
Johnson James Vice President 1008 JENKS AVE, PANAMA CITY, FL, 32401
PYNE LAW GROUP, P.A. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000038486 FLORIDA PRIMARY CARE EXPIRED 2015-04-16 2020-12-31 - 1008 JENKS AVE, PANAMA CITY, FL, 32401
G15000038495 FL MEDICAL GROUP EXPIRED 2015-04-16 2020-12-31 - 1008 JENKS AVE, PANAMA CITY, FL, 32401
G13000096420 FLORIDA NEURO PAIN AND SPINE CENTER EXPIRED 2013-09-30 2018-12-31 - 1008 JENKS AVE, PANAMA CITY, FL, 32401
G12000078647 NORTHWEST INTEGRATIVE PAIN INSTITUTE EXPIRED 2012-08-08 2017-12-31 - 1008 JENKS AVE, PANAMA CITY, FL, 32401

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-04-30 2309 Frankford Avenue Suite A, Panama City, FL 32405 -
CHANGE OF MAILING ADDRESS 2017-03-15 1008 JENKS AVE, PANAMA CITY, FL 32401 -
NAME CHANGE AMENDMENT 2013-09-16 FL NEURO PAIN AND SPINE CENTER, P.A. -
CHANGE OF PRINCIPAL ADDRESS 2011-02-09 1008 JENKS AVE, PANAMA CITY, FL 32401 -
REGISTERED AGENT NAME CHANGED 2011-02-09 PYNE LAW GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-30

Date of last update: 01 Mar 2025

Sources: Florida Department of State