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FLORIDA NEUROSURGERY AND SPINE CENTER PA - Florida Company Profile

Company Details

Entity Name: FLORIDA NEUROSURGERY AND SPINE CENTER PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA NEUROSURGERY AND SPINE CENTER PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Dec 2022 (2 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Nov 2024 (5 months ago)
Document Number: P22000092640
FEI/EIN Number 92-1337853

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 155 CRYSTAL BEACH DR, 200, DESTIN, FL, 32541, US
Mail Address: 155 CRYSTAL BEACH DR, 200, DESTIN, FL, 32541, US
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396458329 2023-01-04 2024-05-01 155 CRYSTAL BEACH DR STE 200, DESTIN, FL, 325413588, US 155 CRYSTAL BEACH DR STE 200, DESTIN, FL, 325413588, US

Contacts

Phone +1 850-353-2055
Fax 8553446080

Authorized person

Name DR. TIMOTHY R MONROE
Role PRESIDENT; OWNER
Phone 8503532055

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary No
Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary No
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No

Key Officers & Management

Name Role Address
MONROE TIMOTHY Owne 155 CRYSTAL BEACH DR, DESTIN, FL, 32541
Lechner Eric Chief Executive Officer 155 Crystal Beach Dr, DESTIN, FL, 32541
McGee BOBBY JO Agent 155 CRYTSAL BEACH DR, DESTIN, FL, 32541

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000018558 MANDARIN INTERVENTIONAL PAIN ACTIVE 2023-02-08 2028-12-31 - 155 CRYSTAL BEACH DR, 200, DESTIN, FL, 32541
G23000014064 WHITE SANDS SPINE AND NEUROSURGERY ACTIVE 2023-01-30 2028-12-31 - 155 CRYSTAL BEACH DR, 200, DESTIN, FL, 32541

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-11-20 - -
REGISTERED AGENT NAME CHANGED 2024-11-20 McGee, BOBBY JO -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REINSTATEMENT 2023-11-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
REINSTATEMENT 2024-11-20
REINSTATEMENT 2023-11-15
Domestic Profit 2022-12-15

Date of last update: 01 Apr 2025

Sources: Florida Department of State