| Entity Name: | FLORIDA SPINE AND WELLNESS INSTITUTE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Aug 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P14000068023 |
| FEI/EIN Number | 47-1645285 |
| Address: | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 |
| Mail Address: | PO Box 337, Ormond Beach, FL 32175 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083014930 | 2014-08-28 | 2014-08-28 | 33 DIVISION AVE, ORMOND BEACH, FL, 321746401, US | 4 PEARL DR, SUITE #1, ORMOND BEACH, FL, 321741926, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-677-9355 |
Authorized person
| Name | DR. ANDREW K HARRIS |
| Role | OWNER |
| Phone | 3866779355 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11213 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Dougherty-HARRIS, Heather Colleen | Agent | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| DOUGHERTY-HARRIS, HEATHER C | Treasurer | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| Dougherty-HARRIS, Heather C | President | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| DOUGHERTY-HARRIS, HEATHER C | Secretary | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 | No data |
| REINSTATEMENT | 2021-04-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-12 | 33 DIVISION AVENUE, ORMOND BEACH, FL 32174 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-22 | Dougherty-HARRIS, Heather Colleen | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000107320 | TERMINATED | 1000000879049 | VOLUSIA | 2021-03-01 | 2031-03-10 | $ 536.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| J19000714954 | TERMINATED | 1000000845372 | VOLUSIA | 2019-10-22 | 2029-10-30 | $ 436.30 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| J18000077776 | TERMINATED | 1000000773042 | VOLUSIA | 2018-02-16 | 2028-02-21 | $ 1,068.14 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| J16000177430 | TERMINATED | 1000000706082 | VOLUSIA | 2016-02-22 | 2026-03-10 | $ 586.18 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-16 |
| REINSTATEMENT | 2021-04-12 |
| REINSTATEMENT | 2016-09-22 |
| Domestic Profit | 2014-08-14 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
