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NEUROSPINE FLORIDA, PA - Florida Company Profile

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Company Details

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

Key Officers & Management

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

National Provider Identifier

NPI Number:
1235420639
Certification Date:
2022-11-16

Authorized Person:

Name:
BERNARD H GUIOT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
No
Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
9048242226

Form 5500 Series

Employer Identification Number (EIN):
451495547
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:

Fictitious Names

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

Events

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 -

Documents

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

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Date of last update: 01 Jul 2025

Sources: Florida Department of State