| Entity Name: | COMPREHENSIVE SPINE AND REGENERATIVE MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Dec 2015 (9 years ago) |
| Date of dissolution: | 08 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jan 2024 (a year ago) |
| Document Number: | P15000101121 |
| FEI/EIN Number | 81-1066880 |
| Address: | 9145 NARCOOSSEE ROAD, SUITE A-200, ORLANDO, FL 32827 |
| Mail Address: | 9145 NARCOOSSEE ROAD, SUITE A-200, ORLANDO, FL 32827 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205293966 | 2016-01-25 | 2022-11-23 | 9145 NARCOOSSEE RD STE A200, ORLANDO, FL, 328275768, US | 9145 NARCOOSSEE RD # A-200, ORLANDO, FL, 328275768, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-412-5030 |
| Fax | 4076017946 |
Authorized person
| Name | SABINE SWINDAL |
| Role | ADMINISTRATIVE ASSOCIATE |
| Phone | 4074125030 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME73164 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gayles, Richard, MD | Agent | 9145 Narcoossee Rd, Suite A200, Orlando, FL 32827 |
| Name | Role | Address |
|---|---|---|
| GAYLES, RICHARD E, M.D. | President | 9145 Narcoossee Rd., Suite A-200 ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| GAYLES, RICHARD E, M.D. | Secretary | 9145 Narcoossee Rd., Suite A-200 ORLANDO, FL 32827 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000012328 | SPACE COAST MEDICAL ARTS | EXPIRED | 2019-01-23 | 2024-12-31 | No data | 9145 NARCOOSSEE RD, SUITE A200, ORLANDO, FL, 32827 |
| G17000030442 | NONA MEDICAL ARTS | EXPIRED | 2017-03-22 | 2022-12-31 | No data | 9145 NARCOOSSEE RD, SUITE A-200, ORLANDO, FL, 32827 |
| G16000100305 | LAKE NONA MEDICAL ARTS | EXPIRED | 2016-09-13 | 2021-12-31 | No data | 9145 NARCOOSSEE RD, SUITE A-200, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-08 | No data | No data |
| REINSTATEMENT | 2019-01-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-17 | Gayles, Richard, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-17 | 9145 Narcoossee Rd, Suite A200, Orlando, FL 32827 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-13 | 9145 NARCOOSSEE ROAD, SUITE A-200, ORLANDO, FL 32827 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-08 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-04-16 |
| REINSTATEMENT | 2019-01-17 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-25 |
| Domestic Profit | 2015-12-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7464337010 | 2020-04-07 | 0491 | PPP | 9145 NARCOOSSEE RD Suite A200, ORLANDO, FL, 32827-5702 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 19 Feb 2025
Sources: Florida Department of State
