| Entity Name: | NORTH FLORIDA SPORTS AND SPINE CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Oct 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P17000084069 |
| FEI/EIN Number | 82-3138687 |
| Address: | 2760 US HWY 1 South, Saint Augustine, FL, 32086, US |
| Mail Address: | 2760 US HWY 1 South, Saint Augustine, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134632474 | 2017-11-08 | 2023-05-19 | 2758 US 1 S, SAINT AUGUSTINE, FL, 320866343, US | 2758 US 1 S, SAINT AUGUSTINE, FL, 320866343, US | |||||||||||||||||||||||
|
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| Phone | +1 904-429-7765 |
| Fax | 9046219202 |
Authorized person
| Name | DR. JOSHUA MICHAEL HENRY |
| Role | OWNER |
| Phone | 9492123425 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | ME114798 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENRY JOSHUA M | Agent | 2721 PALENCIA ST, ST. AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| HENRY JOSHUA M | President | 2721 PALENCIA ST, ST. AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-02-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-02 | HENRY, JOSHUA M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-25 | 2760 US HWY 1 South, Saint Augustine, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-25 | 2760 US HWY 1 South, Saint Augustine, FL 32086 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-02-02 |
| ANNUAL REPORT | 2021-08-06 |
| ANNUAL REPORT | 2020-07-25 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-01-29 |
| Domestic Profit | 2017-10-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
