| Entity Name: | FANNEY SPINE AND REHAB, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Oct 2012 (12 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: | P12000086702 |
| FEI/EIN Number | 46-1263536 |
| Address: | 4241 NW AMERICAN LANE, LAKE CITY, FL, 32055 |
| Mail Address: | 4241 NW AMERICAN LANE, LAKE CITY, FL, 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891031282 | 2012-12-12 | 2012-12-12 | 504 CAROLINA AVE, PLANT CITY, FL, 335637010, US | 4241 NW AMERICAN LN, LAKE CITY, FL, 320554881, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-616-1982 |
Authorized person
| Name | DR. DARYN FANNEY |
| Role | DIRECTOR |
| Phone | 4076161982 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10331 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FANNEY DARYN | Agent | 504 CAROLINA AVE, PLANT CITY, FL, 33563 |
| Name | Role | Address |
|---|---|---|
| FANNEY DARYN | Director | 504 CAROLINA AVE, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-18 |
| Domestic Profit | 2012-10-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
