| Entity Name: | MEDICAL AND SPINE ASSOCIATES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jun 2013 (12 years ago) |
| Document Number: | P13000053714 |
| FEI/EIN Number | 46-3033657 |
| Address: | 11508 VIA LUCERNA CIR, WINDERMERE, FL, 34786, US |
| Mail Address: | P.O. BOX 5, GOTHA, FL, 34734, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770997454 | 2014-06-20 | 2014-06-20 | 2705 REBECCA LN, SUITE A, ORANGE CITY, FL, 327638332, US | 2705 REBECCA LN, SUITE A, ORANGE CITY, FL, 327638332, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-860-2422 |
| Fax | 3868602566 |
Authorized person
| Name | KEITH MASSI |
| Role | PRESIDENT |
| Phone | 3868602422 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8833 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | CH8833 |
| State | FL |
| Issuer | NPI |
| Number | 1801022215 |
| Name | Role | Address |
|---|---|---|
| MASSI KEITH | Agent | 11508 VIA LUCERNA CIR, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| MASSI KEITH | President | 11508 VIA LUCERNA CIR, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| MASSI KEITH | Treasurer | 11508 VIA LUCERNA CIR, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 11508 VIA LUCERNA CIR, WINDERMERE, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 11508 VIA LUCERNA CIR, WINDERMERE, FL 34786 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 11508 VIA LUCERNA CIR, WINDERMERE, FL 34786 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
