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  5. TOTAL BACK CARE CENTER, INC.

TOTAL BACK CARE CENTER, INC.

Company Details

Entity Name: TOTAL BACK CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Apr 1994 (31 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 08 Oct 2007 (17 years ago)
Document Number: P94000030964
FEI/EIN Number 65-0503316
Address: 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102
Mail Address: 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447309018 2007-01-10 2020-08-22 130 TAMIAMI TRL N, SUITE 210, NAPLES, FL, 341026224, US 130 TAMIAMI TRL N, SUITE 210, NAPLES, FL, 341026224, US

Contacts
Phone +1 239-434-8707
Fax 2394346343

Authorized person
Name DR. THOMAS E PARENT
Role ADMINISTRATOR
Phone 2394348707

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 950
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS AND BLUE SHIEL
Number 65W
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOTAL SURGERY CENTER 401K PLAN 2022 650503316 2023-08-28 TOTAL BACK CARE CENTER, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2022 650503316 2023-04-13 TOTAL BACK CARE CENTER, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2021 650503316 2022-08-25 TOTAL BACK CARE CENTER, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2020 650503316 2021-04-28 TOTAL BACK CARE CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2019 650503316 2020-10-15 TOTAL BACK CARE CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2018 650503316 2019-05-19 TOTAL BACK CARE CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2017 650503316 2018-07-10 TOTAL BACK CARE CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2016 650503316 2017-03-21 TOTAL BACK CARE CENTER, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2015 650503316 2016-04-25 TOTAL BACK CARE CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102
TOTAL SURGERY CENTER 401K PLAN 2014 650503316 2015-05-18 TOTAL BACK CARE CENTER, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2394348707
Plan sponsor’s address 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing DR. THOMAS PARENT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Parent, Thomas, MD Agent 130 Tamiami Trail N Suite 210, NAPLES, FL 34102

Vice President

Name Role Address
HUSSEY, DESMOND FIII Vice President 130 TAMIAMI TR N. #250, NAPLES, FL 34102

President

Name Role Address
PARENT, THOMAS E President 130 Tamiami Trail N, 210 NAPLES, FL 34102

Secretary

Name Role Address
PARENT, MARY P Secretary 130 Tamiami Trail N, 210 NAPLES, FL 34102

Treasurer

Name Role Address
Hussey, Marian Rose Treasurer 130 Tamiami Trail N Suite 210, NAPLES, FL 34102

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000081401 TOTAL SURGERY CENTER EXPIRED 2011-08-16 2016-12-31 No data 130 TAMIAMI TR N., #210, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-18 Parent, Thomas, MD No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-18 130 Tamiami Trail N Suite 210, NAPLES, FL 34102 No data
CANCEL ADM DISS/REV 2007-10-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
CHANGE OF PRINCIPAL ADDRESS 2003-01-21 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2003-01-21 130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102 No data

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-07-03
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-02-26

Related by officers

No related officers

Related by address

130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102

TOTAL SURGERY CENTER HOLDING, LLC

130 TAMIAMI TRAIL NORTH, SUITE 210, NAPLES, FL 34102

TOTAL SURGERY CENTER HOLDING, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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