| Entity Name: | PANAMA CITY SPRINGS & RECOVERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Jan 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Apr 2022 (3 years ago) |
| Document Number: | P16000005161 |
| FEI/EIN Number | 81-3808611 |
| Address: | 1212 W. 19th Street, Panama City, FL 32405 |
| Mail Address: | 1212 W. 19th Street, Panama City, FL 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760981260 | 2018-02-09 | 2020-12-16 | 3562 FOUR OAKS BLVD, TALLAHASSEE, FL, 323113308, US | 1212 W 19TH ST, PANAMA CITY, FL, 324054104, US | |||||||||||||||||||
|
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| Phone | +1 850-567-6164 |
Authorized person
| Name | MR. WARREN PEARSON |
| Role | CEO |
| Phone | 8505676164 |
Taxonomy
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Cannon, George X | Agent | 1212 W. 19th Street, Panama City, FL 32405 |
| Name | Role | Address |
|---|---|---|
| Pittman, Michael | Treasurer | 951 Copperwood Drive, Carmel, IN 46033 |
| Name | Role | Address |
|---|---|---|
| Hancock, Amy R | Chief Executive Officer | 1212 W. 19th Street, Panama City, FL 32405 |
| Name | Role | Address |
|---|---|---|
| CANNON, GEORGE | FCO | 1212 W. 19TH STREET, PANAMA CITY, FL 32405 |
| Name | Role | Address |
|---|---|---|
| CANNON, GEORGE | President | 1212 W. 19TH STREET, PANAMA CITY, FL 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000062792 | FLORIDA SPRINGS WELLNESS AND RECOVERY CENTER | EXPIRED | 2019-05-30 | 2024-12-31 | No data | 3562 FOUR OAKS BLVD, TALLAHASSEE, FL, 32311 |
| G19000063007 | FLORIDA SPRINGS WELLNESS & RECOVERY CENTER | ACTIVE | 2019-05-30 | 2029-12-31 | No data | 1212 WEST 19TH STREET, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-04-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-09 | Cannon, George X | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-09 | 1212 W. 19th Street, Panama City, FL 32405 | No data |
| AMENDMENT AND NAME CHANGE | 2020-05-26 | PANAMA CITY SPRINGS & RECOVERY CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-28 | 1212 W. 19th Street, Panama City, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-28 | 1212 W. 19th Street, Panama City, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-06 |
| Amendment | 2022-04-28 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-09 |
| Amendment and Name Change | 2020-05-26 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-07-26 |
| ANNUAL REPORT | 2018-08-17 |
| ANNUAL REPORT | 2017-04-29 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
