| Entity Name: | SPINE SPORT & ALL FACETS OF REHAB CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Aug 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Nov 2018 (6 years ago) |
| Document Number: | P17000068000 |
| FEI/EIN Number | 822449893 |
| Address: | 240 Bluestone Pl, Casselberry, FL, 32707-4147, US |
| Mail Address: | 240 Bluestone Pl, Casselberry, FL, 32707-4147, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568980621 | 2017-09-08 | 2023-08-10 | 240 BLUESTONE PL, CASSELBERRY, FL, 327074147, US | 240 BLUESTONE PL, CASSELBERRY, FL, 327074147, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-731-4618 |
Authorized person
| Name | DR. SOOFIA KHAN |
| Role | AO |
| Phone | 3057314618 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN ASIF A | Agent | 240 Bluestone Pl, Casselberry, FL, 327074147 |
| Name | Role | Address |
|---|---|---|
| KHAN SOOFIA | President | 240 Bluestone Pl, Casselberry, FL, 327074147 |
| Name | Role | Address |
|---|---|---|
| KHAN AHMED H | Treasurer | 240 Bluestone Pl, Casselberry, FL, 327074147 |
| Name | Role | Address |
|---|---|---|
| KHAN ASIF A | Secretary | 240 Bluestone Pl, Casselberry, FL, 327074147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-20 | 240 Bluestone Pl, Casselberry, FL 32707-4147 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-20 | 240 Bluestone Pl, Casselberry, FL 32707-4147 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-20 | 240 Bluestone Pl, Casselberry, FL 32707-4147 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-19 | KHAN, ASIF AHMED | No data |
| REINSTATEMENT | 2018-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-28 |
| REINSTATEMENT | 2018-11-15 |
| Domestic Profit | 2017-08-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
