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RIVERSIDE SPINE & PAIN PHYSICIANS, LLC - Florida Company Profile

Company Details

Entity Name: RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

RIVERSIDE SPINE & PAIN PHYSICIANS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 25 Feb 2002 (23 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 24 Aug 2017 (8 years ago)
Document Number: L02000004901
FEI/EIN Number 753046335

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US
Mail Address: 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982070157 2015-08-11 2015-08-11 7207 GOLDEN WINGS RD, SUITE 100, JACKSONVILLE, FL, 322443324, US 3622 MADACA LN, TAMPA, FL, 336182057, US

Contacts
Phone +1 904-389-1010
Fax 9043891082

Authorized person
Name STEPHEN SCOTT KRAMARICH
Role MEDICAL DIRECTOR
Phone 9043891010

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVERSIDE SPINE 401K PLAN 2014 753046335 2015-10-09 RIVERSIDE SPINE & PAIN PHYSICIANS 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL, 32244

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE SPINE 401K PLAN 2013 753046335 2014-10-14 RIVERSIDE SPINE & PAIN PHYSICIANS 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL, 32244

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE SPINE 401K PLAN 2012 753046335 2013-10-14 RIVERSIDE SPINE & PAIN PHYSICIANS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL, 32244

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE SPINE 401K PLAN 2011 753046335 2012-10-16 RIVERSIDE SPINE & PAIN PHYSICIANS 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD, SUITE 100, JACKSONVILLE, FL, 32244

Plan administrator’s name and address
Administrator’s EIN 753046335
Plan administrator’s name RIVERSIDE SPINE & PAIN PHYSICIANS
Plan administrator’s address 7207 GOLDEN WINGS ROAD, SUITE 100, JACKSONVILLE, FL, 32244
Administrator’s telephone number 9043891010

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE SPINE 401K PLAN 2010 753046335 2011-10-06 RIVERSIDE SPINE & PAIN PHYSICIANS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD SUITE 100, JACKSONVILLE, FL, 32244

Plan administrator’s name and address
Administrator’s EIN 753046335
Plan administrator’s name RIVERSIDE SPINE & PAIN PHYSICIANS
Plan administrator’s address 7207 GOLDEN WINGS ROAD SUITE 100, JACKSONVILLE, FL, 32244
Administrator’s telephone number 9043891010

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE SPINE 401K PLAN 2009 753046335 2010-07-22 RIVERSIDE SPINE & PAIN PHYSICIANS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621310
Sponsor’s telephone number 9043891010
Plan sponsor’s address 7207 GOLDEN WINGS ROAD SUITE 100, JACKSONVILLE, FL, 32244

Plan administrator’s name and address
Administrator’s EIN 753046335
Plan administrator’s name RIVERSIDE SPINE & PAIN PHYSICIANS
Plan administrator’s address 7207 GOLDEN WINGS ROAD SUITE 100, JACKSONVILLE, FL, 32244
Administrator’s telephone number 9043891010

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing CRAIG KORNICK
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BALDOCK JENNIFER Auth 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000120021 ALLIANCE PAIN PHYSICIANS EXPIRED 2013-12-09 2018-12-31 - 7207 GOLDEN WINGS ROAD, SUITE 100, JACKSONVILLE, FL, 32244
G13000046804 RIVERSIDE PAIN PHYSICIANS EXPIRED 2013-05-16 2018-12-31 - 7207 GOLDEN WINGS ROAD, SUITE 100, JACKSONVILLE, FL, 32244

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-24 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN 37027 -
CHANGE OF MAILING ADDRESS 2023-04-24 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN 37027 -
REGISTERED AGENT ADDRESS CHANGED 2019-06-18 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
REGISTERED AGENT NAME CHANGED 2019-06-18 CORPORATION SERVICE COMPANY -
LC AMENDMENT 2017-08-24 - -
LC AMENDED AND RESTATED ARTICLES 2016-05-05 - -
LC AMENDMENT 2016-04-04 - -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2015-04-01 RIVERSIDE SPINE & PAIN PHYSICIANS, LLC -
LC AMENDMENT 2014-01-27 - -
AMENDED AND RESTATEDARTICLES 2005-07-11 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-03-27
LC Amendment 2017-08-24
ANNUAL REPORT 2017-02-21
LC Amended and Restated Art 2016-05-05

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BALDOCK JENNIFER

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Florida Limited Liability Co. (2005 )
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SGRY SP MANAGEMENT SERVICES, INC. - Active
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CORPORATION SERVICE COMPANY

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Domestic Profit (1989 - 2002)
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Florida Limited Liability Co. (2015 - 2017)
BELLA PROPERTY INVESTMENT, LLC - Inactive
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NEWKIRK LARLOOSA L.P. - Inactive
Foreign Limited Partnership (2001 - 2008)
COLCHESTER AVIATION, LLC - Inactive
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MT. PLEASANT CAPACITY AGENCY, LLC - Active
Foreign Limited Liability Co. (2014 )

Companies related by address

340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US

RIVERSIDE SURGICAL CENTER, LLC SURGERY PARTNERS OF MERRITT ISLAND, LLC LOGAN LABORATORIES, LLC RIVERSIDE BILLING AND MANAGEMENT COMPANY, LLC SURGERY CENTER HOLDINGS, INC. SURGERY PARTNERS, INC. JACKSONVILLE BEACH SURGERY CENTER, LLC COLLIER ANESTHESIA PAIN, LLC SPACE COAST SURGERY CENTER, LLC SURGERY PARTNERS ACQUISITION COMPANY, LLC

340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US

RIVERSIDE SURGICAL CENTER, LLC SURGERY PARTNERS OF MERRITT ISLAND, LLC LOGAN LABORATORIES, LLC RIVERSIDE BILLING AND MANAGEMENT COMPANY, LLC SURGERY CENTER HOLDINGS, INC. SURGERY PARTNERS, INC. JACKSONVILLE BEACH SURGERY CENTER, LLC COLLIER ANESTHESIA PAIN, LLC SPACE COAST SURGERY CENTER, LLC SURGERY PARTNERS ACQUISITION COMPANY, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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