| Entity Name: | PRECISION SPINE HEALTH AND INJURY CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Sep 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000085695 |
| FEI/EIN Number | 453526119 |
| Address: | 12620 BEACH BLVD, STE 5, JACKSONVILLE, FL, 32246 |
| Mail Address: | 12620 BEACH BLVD, STE 5, JACKSONVILLE, FL, 32246 |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235413543 | 2011-10-05 | 2011-10-05 | 12620 BEACH BLVD STE 5, JACKSONVILLE, FL, 322467130, US | 12620 BEACH BLVD STE 5, JACKSONVILLE, FL, 322467130, US | |||||||||||||||
|
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| Phone | +1 904-997-1717 |
| Fax | 9046453483 |
Authorized person
| Name | DR. ALAN J BOUDREAU |
| Role | CHIROPRACTOR/OWNER |
| Phone | 9045913652 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOUDREAU ALAN J | Agent | 12620 BEACH BLVD, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| BOUDREAU ALAN J | President | 12620 BEACH BLVD STE 5, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-14 |
| Domestic Profit | 2011-09-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
