| Entity Name: | CENTER FOR SPINE SURGERY OF THE PALM BEACHES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Feb 1996 (29 years ago) |
| Document Number: | P96000015582 |
| FEI/EIN Number | 650644136 |
| Address: | 10313 W. FORREST HILL BLVD., WEST PALM BEACH, FL, 33414, US |
| Mail Address: | 10313 W. FORREST HILL BLVD., WEST PALM BEACH, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| DAVIS RICHARD T | Agent | 250 AUSTRALIAN AV E S., W PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| MONTIJO HARVEY | President | 10131 W. FORREST HILL BLVD., STE. 202, WEST PALM BEACH, FL |
| Name | Role | Address |
|---|---|---|
| YEE GARVIN | Vice President | 10131 W. FORREST HILL BLVD., STE. 202, WEST PALM BEACH, FL |
| Name | Role | Address |
|---|---|---|
| WAELTZ MARK | Secretary | 10131 W. FORREST HILL BLVD., STE. 202, WEST PALM BEACH, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 1996-02-22 | CENTER FOR SPINE SURGERY OF THE PALM BEACHES, P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
