| Entity Name: | CELEBRATION MINIMALLY INVASIVE SPINE INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Jan 2015 (10 years ago) |
| Date of dissolution: | 22 Jul 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Jul 2019 (6 years ago) |
| Document Number: | P15000008770 |
| FEI/EIN Number | 47-3110067 |
| Address: | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 |
| Mail Address: | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 |
| ZIP code: | 34747 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821485608 | 2015-04-20 | 2015-04-20 | 400 CELEBRATION PL, SUITE A280, CELEBRATION, FL, 347474970, US | 400 CELEBRATION PL, SUITE A280, CELEBRATION, FL, 347474970, US | |||||||||||||||||
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| Phone | +1 407-566-4411 |
Authorized person
| Name | FAISSAL ZAHRAWI |
| Role | PRESIDENT |
| Phone | 4075664411 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME88360 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAHRAWI, FAISSAL, M.D. | Agent | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 |
| Name | Role | Address |
|---|---|---|
| ZAHRAWI, FAISSAL, M.D. | President | 400 CELEBRATION PLACE, Suite A280 CELEBRATION, FL 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-07-22 | No data | No data |
| REINSTATEMENT | 2017-10-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-27 | ZAHRAWI, FAISSAL, M.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-07 | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-07 | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-07 | 400 CELEBRATION PLACE, SUITE A280, CELEBRATION, FL 34747 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-07-22 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-15 |
| REINSTATEMENT | 2017-10-27 |
| ANNUAL REPORT | 2016-03-07 |
| Domestic Profit | 2015-01-27 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
