| 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 (15 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 |
| 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 | |||||||||||||||||||||||||
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| 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 |
| 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 | - |
| 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 |
| 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. | - |
| 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
