| Entity Name: | INTEGRATED SPINE AND PHYSICAL THERAPY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Sep 2019 (5 years ago) |
| Document Number: | P19000076595 |
| FEI/EIN Number | 843206029 |
| Address: | 31609 Holcomb Pass, Wesley Chapel, FL, 33543, US |
| Mail Address: | 31609 HOLCOMB PASS, WESLEY CHAPEL, FL, 33543, US |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972142552 | 2019-12-31 | 2019-12-31 | 31609 HOLCOMB PASS, WESLEY CHAPEL, FL, 335435210, US | 3717 TURMAN LOOP STE 101A, WESLEY CHAPEL, FL, 335447794, US | |||||||||||||||||||||
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| Phone | +1 574-536-9511 |
| Phone | +1 813-994-5200 |
| Fax | 8139945700 |
Authorized person
| Name | DR. ROBERT BOYD AMIS JR. |
| Role | OWNER |
| Phone | 5745369511 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AMIS ROBERT BJR | Agent | 31609 HOLCOMB PASS, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| AMIS ROBERT BJR | President | 31609 HOLCOMB PASS, WESLEY CHAPEL, FL, 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 31609 Holcomb Pass, Wesley Chapel, FL 33543 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-19 |
| Domestic Profit | 2019-09-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
