| Entity Name: | FIRST COAST SPINE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FIRST COAST SPINE, 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: | 18 Sep 2014 (10 years ago) |
| Document Number: | P14000077564 |
| FEI/EIN Number |
47-1887823
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4849 French St., Jacksonville, FL, 32205, US |
| Mail Address: | 1201 Lake Asbury Drive, Green Cove Springs, FL, 32043, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144625724 | 2014-10-25 | 2021-11-24 | 2650 MOSLEY RD, ORANGE PARK, FL, 320657503, US | 4849 FRENCH ST STE 1, JACKSONVILLE, FL, 322055003, US | |||||||||||||||||||||||||||
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| Phone | +1 904-600-3426 |
| Fax | 9048001432 |
Authorized person
| Name | COLT MITCHELL ANDREA |
| Role | PRESIDENT |
| Phone | 9046003426 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10319 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE SKY 401(K) TRUST | 2023 | 471887823 | 2024-07-30 | FIRST COAST SPINE, INC. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 521328716 |
| Plan administrator’s name | TEFRA, INC. |
| Plan administrator’s address | 1 BURNHAM WOOD CT, PO BOX 4160, ANNAPOLIS, MD, 21403 |
| Administrator’s telephone number | 4102637644 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-30 |
| Name of individual signing | LINDA S MATHIEU, PRES. TEFRA, INC. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 9046003426 |
| Plan sponsor’s address | 2650 MOSLEY ROAD, ORANGE PARK, FL, 32065 |
Plan administrator’s name and address
| Administrator’s EIN | 521328716 |
| Plan administrator’s name | TEFRA, INC. |
| Plan administrator’s address | 1 BURNHAM WOOD CT, PO BOX 4160, ANNAPOLIS, MD, 21403 |
| Administrator’s telephone number | 4102637644 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-15 |
| Name of individual signing | LINDA S MATHIEU, PRES. TEFRA, INC. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANDREA COLT | President | 1201 Lake Asbury Drive, Green Cove Springs, FL, 32043 |
| Andrea Colt | Agent | 4849 French St., Jacksonville, FL, 32205 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000063554 | SPEARHEAD | EXPIRED | 2017-06-07 | 2022-12-31 | - | 2650 MOSLEY RD., ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-27 | 4849 French St., Ste.1, Jacksonville, FL 32205 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-09 | 4849 French St., Ste.1, Jacksonville, FL 32205 | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-09 | Andrea, Colt | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-09 | 4849 French St., Ste.1, Jacksonville, FL 32205 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-15 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
