| Entity Name: | NEUROSPINE FLORIDA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NEUROSPINE FLORIDA, 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: | 26 Apr 2011 (14 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 07 Jun 2022 (3 years ago) |
| Document Number: | P11000040612 |
| FEI/EIN Number |
451495547
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 52 Tuscan Way, Suite 202-414, St. Augustine, FL, 32092, US |
| Mail Address: | 52 Tuscan Way, Suite 202-414, St. Augustine, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235420639 | 2011-04-20 | 2022-11-16 | PO BOX 3123, ST AUGUSTINE, FL, 320853123, US | 14810 OLD SAINT AUGUSTINE RD STE 207, JACKSONVILLE, FL, 322582558, US | |||||||||||||||||||||||
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| Phone | +1 904-824-4990 |
| Fax | 9048242226 |
Authorized person
| Name | BERNARD H GUIOT |
| Role | PRESIDENT |
| Phone | 9042177450 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | ME65494 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROSPINE FLORIDA CASH BALANCE PLAN | 2023 | 451495547 | 2024-07-24 | NEUROSPINE FLORIDA, PA | 13 | |||||||||||||
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| NEUROSPINE FLORIDA 401(K) PROFIT SHARING PLAN AND TRUST | 2023 | 451495547 | 2024-07-22 | NEUROSPINE FLORIDA, PA | 13 | |||||||||||||
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| NEUROSPINE FLORIDA CASH BALANCE PLAN | 2022 | 451495547 | 2023-09-19 | NEUROSPINE FLORIDA, PA | 13 | |||||||||||||
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| NEUROSPINE FLORIDA 401(K) PROFIT SHARING PLAN AND TRUST | 2022 | 451495547 | 2023-07-14 | NEUROSPINE FLORIDA, PA | 16 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Guiot Bernard HM.D. | President | 52 Tuscan Way, St. Augustine, FL, 32092 |
| Nowak Monica | Treasurer | 52 Tuscan Way, St. Augustine, FL, 32092 |
| Farah Law | Agent | 6550 St. Augustine Road, Jacksonville, FL, 32217 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000098890 | NEURO-SPINE FLORIDA | EXPIRED | 2018-09-06 | 2023-12-31 | - | 100 WHETSTONE PLACE, SUITE #310, ST. AUGUSTINE, FL, 32086 |
| G17000021113 | FLAGLER BRAIN AND SPINE INSTITUTE | EXPIRED | 2017-02-27 | 2022-12-31 | - | 100 WHETSTONE PLACE, SUITE 310, ST. AUGUSTINE, FL, 32086 |
| G11000109337 | FLAGLER BRAIN AND SPINE INSTITUTE | EXPIRED | 2011-11-09 | 2016-12-31 | - | 1 BONITA BAY DRIVE, SAINT AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-15 | 52 Tuscan Way, Suite 202-414, St. Augustine, FL 32092 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-15 | 52 Tuscan Way, Suite 202-414, St. Augustine, FL 32092 | - |
| NAME CHANGE AMENDMENT | 2022-06-07 | NEUROSPINE FLORIDA, PA | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-01 | Farah Law | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-27 | 6550 St. Augustine Road, Suite 103, Jacksonville, FL 32217 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-12 |
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-02-10 |
| Name Change | 2022-06-07 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-22 |
| AMENDED ANNUAL REPORT | 2020-07-16 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
