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ORANGE PARK NEUROSURGERY P.L. - Florida Company Profile

Company Details

Entity Name: ORANGE PARK NEUROSURGERY P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ORANGE PARK NEUROSURGERY P.L. 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 21 Dec 2004 (20 years ago)
Date of dissolution: 21 Dec 2021 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Dec 2021 (3 years ago)
Document Number: L04000092130
FEI/EIN Number 510531516

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 616 PINTAIL DR, AIKEN, SC, 29803, US
Mail Address: 616 PINTAIL DR, AIKEN, SC, 29803, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861406720 2006-07-28 2015-01-14 2021 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL, 320735174, US 2021 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL, 320735174, US

Contacts
Phone +1 904-276-3376
Fax 9042765308

Authorized person
Name DR. MARK A SPATOLA
Role MANAGING MEMBER
Phone 9042763376

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE PTAN
Number K7538
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2019 510531516 2020-03-10 ORANGE PARK NEUROSURGERY P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2018 510531516 2019-09-18 ORANGE PARK NEUROSURGERY P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2017 510531516 2018-07-19 ORANGE PARK NEUROSURGERY P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2016 510531516 2017-07-14 ORANGE PARK NEUROSURGERY P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2015 510531516 2016-06-16 ORANGE PARK NEUROSURGERY P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY P.L. 401(K) PROFIT SHARING PLAN 2014 510531516 2015-07-07 ORANGE PARK NEUROSURGERY P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY. P.L. 401(K) PROFIT SHARING PLAN 2013 510531516 2014-09-19 ORANGE PARK NEUROSURGERY. P.L. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL, 32073
ORANGE PARK NEUROSURGERY, P.L. PROFIT SHARING PLA 2012 510531516 2013-07-26 ORANGE PARK NEUROSURGERY, P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE101, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing MARK A. SPATOLA
Valid signature Filed with authorized/valid electronic signature
ORANGE PARK NEUROSURGERY, P.L. PROFIT SHARING PLA 2011 510531516 2012-10-10 ORANGE PARK NEUROSURGERY, P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE101, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 510531516
Plan administrator’s name ORANGE PARK NEUROSURGERY, P.L.
Plan administrator’s address 2021 KINGSLEY AVENUE, SUITE101, ORANGE PARK, FL, 32073
Administrator’s telephone number 9042763376

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing MARK A. SPATOLA
Valid signature Filed with authorized/valid electronic signature
ORANGE PARK NEUROSURGERY, P.L. PROFIT SHARING PLA 2010 510531516 2011-09-22 ORANGE PARK NEUROSURGERY, P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042763376
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE101, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 510531516
Plan administrator’s name ORANGE PARK NEUROSURGERY, P.L.
Plan administrator’s address 2021 KINGSLEY AVENUE, SUITE101, ORANGE PARK, FL, 32073
Administrator’s telephone number 9042763376

Signature of
Role Plan administrator
Date 2011-09-22
Name of individual signing MARK A. SPATOLA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SPATOLA MARK A Managing Member 204 Vista Pointe Ct, St Augustine, FL, 32080
SPATOLA MARK A Agent 204 Vista Pointe Ct, St Augustine, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-03 616 PINTAIL DR, AIKEN, SC 29803 -
CHANGE OF MAILING ADDRESS 2025-01-03 616 PINTAIL DR, AIKEN, SC 29803 -
VOLUNTARY DISSOLUTION 2021-12-21 - -
REGISTERED AGENT ADDRESS CHANGED 2021-03-01 204 Vista Pointe Ct, St Augustine, FL 32080 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-12-21
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-02-20
ANNUAL REPORT 2014-03-17
ANNUAL REPORT 2013-02-06

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Companies related by address

No other companies in our directory share the same address as ORANGE PARK NEUROSURGERY P.L.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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