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TAMPA BAY SPINE INSTITUTE, INC.

Company Details

Entity Name: TAMPA BAY SPINE INSTITUTE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Dec 1997 (27 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P97000107888
FEI/EIN Number 593484509
Address: 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603, US
Mail Address: 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603, US
ZIP code: 33603
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225308323 2012-01-05 2012-01-05 717 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336033103, US 717 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336033103, US

Contacts

Phone +1 813-234-4444
Fax 8132343800

Authorized person

Name CARLOS B GUZMAN
Role CORPORATE PRESIDENT
Phone 8132344444

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH7058
State FL
Is Primary Yes

Agent

Name Role Address
AMERILAWYER Agent 343 ALMERIA AVENUE, CORAL GABLES, FL, 33134

President

Name Role Address
GUZMAN CARLOS BDR. President 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603

Secretary

Name Role Address
GUZMAN CARLOS BDR. Secretary 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603

Treasurer

Name Role Address
GUZMAN CARLOS BDR. Treasurer 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603

Director

Name Role Address
GUZMAN CARLOS BDR. Director 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL, 33603

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-08-11 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL 33603 No data
CHANGE OF MAILING ADDRESS 2017-08-11 717 WEST MARTIN LUTHER KING BLVD, TAMPA, FL 33603 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REINSTATEMENT 2010-10-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2014-03-18
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-02-28
ANNUAL REPORT 2011-03-18
REINSTATEMENT 2010-10-26
ANNUAL REPORT 2009-02-11
ANNUAL REPORT 2008-04-09
ANNUAL REPORT 2007-04-17
ANNUAL REPORT 2006-04-11
ANNUAL REPORT 2005-05-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State