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SOUTH PALM ORTHOSPINE INSTITUTE, LLC - Florida Company Profile

Company Details

Entity Name: SOUTH PALM ORTHOSPINE INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTH PALM ORTHOSPINE INSTITUTE, 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: 05 Mar 2007 (18 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 23 May 2011 (14 years ago)
Document Number: L07000024512
FEI/EIN Number 208531861

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 15300 JOG RD, STE 108, DELRAY BEACH, FL, 33446
Mail Address: 15300 JOG RD, STE 108, DELRAY BEACH, FL, 33446
ZIP code: 33446
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730375346 2007-09-18 2009-11-13 8198 JOG RD, #100, BOYNTON BEACH, FL, 334722998, US 8198 JOG RD, SUITE 100, BOYNTON BEACH, FL, 334722998, US

Contacts

Phone +1 561-742-5959
Fax 5617342226

Authorized person

Name STEWART G EIDELSON
Role OWNER
Phone 5617425959

Taxonomy

Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
License Number ME55593
State FL
Is Primary Yes

Other Provider Identifiers

Issuer NPI
Number 1730375346
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH PALM ORTHOSPINE INSTITUTE LLC DEFINED BENEFIT PLAN 2023 208531861 2024-07-24 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC 401(K) PLAN 2023 208531861 2024-05-21 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC 401(K) PLAN 2022 208531861 2023-10-02 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC DEFINED BENEFIT PLAN 2022 208531861 2023-09-30 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC DEFINED BENEFIT PLAN 2021 208531861 2022-10-17 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC 401(K) PLAN 2021 208531861 2022-09-20 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC 401(K) PLAN 2020 208531861 2021-10-01 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC DEFINED BENEFIT PLAN 2020 208531861 2021-10-01 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC DEFINED BENEFIT PLAN 2019 208531861 2020-10-08 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446
SOUTH PALM ORTHOSPINE INSTITUTE LLC 401(K) PLAN 2019 208531861 2020-10-08 SOUTH PALM ORTHOSPINE INSTITUTE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5617425959
Plan sponsor’s address 15300 JOG ROAD, DELRAY BEACH, FL, 33446

Key Officers & Management

Name Role Address
EIDELSON STEWART M Director 920 Indigo Point, Gulfstream, FL, 33483
EIDELSON STEWART Agent 15300 Jog Rd, Delray Beach, FL, 33446

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000115405 STEWART EIDELSON, MD EXPIRED 2011-11-30 2016-12-31 - 15300 JOG ROAD, SUITE #107, #108, DELRAY BEACH, FL, 33446

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-09 EIDELSON, STEWART -
REGISTERED AGENT ADDRESS CHANGED 2015-01-06 15300 Jog Rd, #107-#108, Delray Beach, FL 33446 -
LC AMENDMENT 2011-05-23 - -
CHANGE OF PRINCIPAL ADDRESS 2008-10-09 15300 JOG RD, STE 108, DELRAY BEACH, FL 33446 -
CHANGE OF MAILING ADDRESS 2008-10-09 15300 JOG RD, STE 108, DELRAY BEACH, FL 33446 -

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-02-18
ANNUAL REPORT 2015-01-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3411437101 2020-04-11 0455 PPP 15300 Jog Rd Suite 107-108, DELRAY BEACH, FL, 33446
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53100
Loan Approval Amount (current) 53100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address DELRAY BEACH, PALM BEACH, FL, 33446-0001
Project Congressional District FL-22
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 53585.9
Forgiveness Paid Date 2021-03-31

Date of last update: 01 Apr 2025

Sources: Florida Department of State