| Entity Name: | COASTAL SPINE & DISC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Dec 2011 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P11000107157 |
| FEI/EIN Number | 454034547 |
| Address: | 19 SE OSCEOLA ST, STUART, FL, 34994, US |
| Mail Address: | 19 SE OSCEOLA ST, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013288679 | 2012-01-13 | 2012-01-13 | 19 SE OSCEOLA ST, STUART, FL, 349942125, US | 19 SE OSCEOLA ST, STUART, FL, 349942125, US | |||||||||||||||||||
|
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| Phone | +1 772-287-7701 |
| Fax | 7722204473 |
Authorized person
| Name | DR. RANDOLPH HANSBROUGH |
| Role | DIRECTOR |
| Phone | 7722877701 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH3653 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANSBROUGH RANDOLPH | Agent | 19 SE OSCEOLA ST, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| HANSBROUGH RANDOLPH | Director | 19 SE OSCEOLA ST., STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2012-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-06 |
| REINSTATEMENT | 2012-11-15 |
| Domestic Profit | 2011-12-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
