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FLORIDA SPINE & WELLNESS CENTER, CORP.

Company Details

Entity Name: FLORIDA SPINE & WELLNESS CENTER, CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jan 2014 (11 years ago)
Document Number: P14000002184
FEI/EIN Number 46-4505346
Address: 28023 U.S. HIGHWAY 27, DUNDEE, FL, 33838, US
Mail Address: 28023 U.S. HIGHWAY 27, DUNDEE, FL, 33838, US
ZIP code: 33838
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811313372 2014-03-07 2022-12-14 28023 HWY 27, DUNDEE, FL, 338384276, US 28023 HWY 27, DUNDEE, FL, 338384276, US

Contacts

Phone +1 863-651-7631
Fax 8636882210

Authorized person

Name ALI HAMTAEE
Role AO/PROVIDER/OWNER
Phone 8634382772

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9279
State FL
Is Primary Yes

Agent

Name Role Address
HAMTAEE ALI Agent 4 SKIDMORE ROAD, WINTER HAVEN, FL, 33884

President

Name Role Address
HAMTAEE ALI President 4 SKIDMORE ROAD, WINTER HAVEN, FL, 33884

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000006567 ADVANCED WELLNESS SOLUTION OF FLORIDA ACTIVE 2025-01-14 2030-12-31 No data 28023 HIGHWAY 27, DUNDEE, FL, 33838
G17000027684 ALIGNLIFE EXPIRED 2017-03-15 2022-12-31 No data 28023 HIGHWAY 27, DUNDEE, FL, 33838
G17000021689 SPINE CORRECTION EXPIRED 2017-02-28 2022-12-31 No data 28023 HIGHWAY 27, DUNDEE, FL, 33838
G14000076770 ALIGNLIFE EXPIRED 2014-07-24 2019-12-31 No data 28023 U.S. HIGHWAY 27, DUNDEE, FL, 33838

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 4 SKIDMORE ROAD, WINTER HAVEN, FL 33884 No data
CHANGE OF PRINCIPAL ADDRESS 2014-07-25 28023 U.S. HIGHWAY 27, DUNDEE, FL 33838 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-05-18
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-01-31
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State