| Entity Name: | FLORIDA SPINE AND SPORT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA SPINE AND SPORT INC 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: | 21 Oct 2013 (12 years ago) |
| Document Number: | P13000086239 |
| FEI/EIN Number |
46-3934765
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL, 33317, US |
| Mail Address: | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FLORIDA SPINE AND SPORT INC, MISSISSIPPI | 1425699 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235567363 | 2013-10-29 | 2021-01-06 | 2240 SW 70TH AVE STE D, DAVIE, FL, 333177112, US | 2240 SW 70TH AVE STE D, DAVIE, FL, 333177112, US | |||||||||||||||
|
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| Phone | +1 954-609-6980 |
| Phone | +1 954-430-8000 |
Authorized person
| Name | MR. ROBERT M KUSTIN |
| Role | MANAGER |
| Phone | 9544308000 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUSTIN ROBERT DR | President | 17743 SW 2ND ST., PEMBROKE PINES, FL, 33029 |
| KUSTIN ROBERT DR | Agent | 17743 SW 2ND ST., PEMBROKE PINES, FL, 33029 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137961 | ONE FED | ACTIVE | 2024-11-12 | 2029-12-31 | - | 2240 SOUTHWEST 70TH AVENUE, DAVIE, FL, 33317 |
| G22000022843 | 4 FED-HURT | ACTIVE | 2022-02-24 | 2027-12-31 | - | 2240 SW 70TH AVE, SUITE D, DAVIE, FL, 33317 |
| G17000061819 | DOL INJURY CENTERS | EXPIRED | 2017-06-05 | 2022-12-31 | - | 17743 SW 2 STREET, PEMBROKE PINES, FL, 33029 |
| G15000067474 | PINES SPINE AND JOINT | EXPIRED | 2015-06-29 | 2020-12-31 | - | 17743 SW 2ND STREET, PEMBROKE PINES, FL, 33029 |
| G13000121081 | PINES PHYSICAL MEDICINE | EXPIRED | 2013-12-11 | 2018-12-31 | - | 17743 SW 2 STREET, PEMBROKE PINES, FL, 33029 |
| G13000111140 | PINES SPORTS MEDICINE | EXPIRED | 2013-11-12 | 2018-12-31 | - | 17743 SW 2ND STREET, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-24 | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 | - |
| CHANGE OF MAILING ADDRESS | 2018-09-24 | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
