| Entity Name: | PERFORMANCE SPINE & SPORT REHABILITATION INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Jul 2016 (9 years ago) |
| Document Number: | P16000060368 |
| FEI/EIN Number | 81-3413019 |
| Address: | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 |
| Mail Address: | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417403577 | 2016-08-29 | 2016-12-07 | 10945 N MILITARY TRL, PALM BEACH GARDENS, FL, 334106501, US | 10945 N MILITARY TRL, PALM BEACH GARDENS, FL, 334106501, US | |||||||||||||||||||
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| Phone | +1 561-400-1528 |
| Fax | 5614121277 |
Authorized person
| Name | DR. STEPHEN MAC SWARINGEN |
| Role | PRESIDENT/OWNER |
| Phone | 5614001528 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 10892 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SWARINGEN, STEPHEN M | Agent | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 |
| Name | Role | Address |
|---|---|---|
| SWARINGEN, STEPHEN M | President | 1408 N Killian Drive, Ste 106 Lake Park, FL 33403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-01 | 1408 N Killian Drive, Ste 106, Lake Park, FL 33403 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| Off/Dir Resignation | 2024-02-02 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-04-09 |
| Domestic Profit | 2016-07-19 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
