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  5. FLORIDA SPINE SPECIALISTS, LLC

FLORIDA SPINE SPECIALISTS, LLC

Company Details

Entity Name: FLORIDA SPINE SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Sep 2009 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Oct 2020 (4 years ago)
Document Number: L09000090223
FEI/EIN Number 270949204
Address: 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308, US
Mail Address: 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308, US
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700110483 2009-09-28 2011-03-11 6000 N FEDERAL HWY, FT LAUDERDALE, FL, 333082226, US 6000 NORTH FEDERAL HWY, FT LAUDERDALE, FL, 333081772, US

Contacts
Phone +1 954-771-2551
Fax 9544925266

Authorized person
Name KALMAN BLUMBERG
Role PRESIDENT
Phone 9547712551

Taxonomy
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary Yes
Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2023 270949204 2024-10-08 FLORIDA SPINE SPECIALISTS, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 111100
Sponsor’s telephone number 9547712551
Plan sponsor’s address 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing DR. CAIRNS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2022 270949204 2023-06-27 FLORIDA SPINE SPECIALISTS, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 111100
Sponsor’s telephone number 9547712551
Plan sponsor’s address 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing DR. CAIRNS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2021 270949204 2022-07-20 FLORIDA SPINE SPECIALISTS, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 111100
Sponsor’s telephone number 9547712551
Plan sponsor’s address 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing DR. CAIRNS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 2020 270949204 2021-10-12 FLORIDA SPINE SPECIALISTS, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9547712551
Plan sponsor’s address 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing DR. CAIRNS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2019 270949204 2020-08-27 FLORIDA SPINE SPECIALISTS, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9547712551
Plan sponsor’s address 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226

Signature of
Role Plan administrator
Date 2020-08-27
Name of individual signing DR. CAIRNS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2018 270949204 2019-06-21 FLORIDA SPINE SPECIALISTS, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9544923392
Plan sponsor’s address 6000 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2017 270949204 2018-07-23 FLORIDA SPINE SPECIALISTS, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9544923392
Plan sponsor’s address 6000 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2016 270949204 2017-06-20 FLORIDA SPINE SPECIALISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9544923392
Plan sponsor’s address 6000 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2015 270949204 2016-07-12 FLORIDA SPINE SPECIALISTS, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9544923392
Plan sponsor’s address 6000 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPINE SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2014 270949204 2015-07-08 FLORIDA SPINE SPECIALISTS, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 9544923392
Plan sponsor’s address 6000 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing KALMAN BLUMBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LUBELL STEVE ESQ. Agent 900 S. ANDREWS AVENUE, FT. LAUDERDALE, FL, 33301

Managing Member

Name Role Address
DALTON HAROLD L Managing Member 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308
CAIRNS KEVIN D Managing Member 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Manager

Name Role Address
PAESE GIUSEPPE DO Manager 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000053924 FLORIDA SPINE AND SPORTS SPECIALISTS ACTIVE 2020-05-15 2025-12-31 No data 6000 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308
G15000115708 FLORIDA SPINE SPECIALISTS BOCA EXPIRED 2015-11-13 2020-12-31 No data 6000 N FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-01-29 No data No data
REGISTERED AGENT NAME CHANGED 2020-10-09 LUBELL, STEVE, ESQ. No data
REGISTERED AGENT ADDRESS CHANGED 2020-10-09 900 S. ANDREWS AVENUE, SUITE 900, FT. LAUDERDALE, FL 33301 No data
LC AMENDMENT 2020-10-09 No data No data
LC AMENDMENT 2019-10-07 No data No data
LC AMENDMENT 2010-06-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-06 6000 N FEDERAL HWY, FT. LAUDERDALE, FL 33308 No data
CHANGE OF MAILING ADDRESS 2010-01-06 6000 N FEDERAL HWY, FT. LAUDERDALE, FL 33308 No data
LC NAME CHANGE 2009-10-22 FLORIDA SPINE SPECIALISTS, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-25
LC Amendment 2020-10-09
ANNUAL REPORT 2020-01-27
LC Amendment 2019-10-07
Reg. Agent Change 2019-04-15
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-01-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3314237109 2020-04-11 0455 PPP 6000 N. Federal Highway, FORT LAUDERDALE, FL, 33308-2226
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 401500
Loan Approval Amount (current) 401500
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 N
Business Age Description Unanswered
Project Address FORT LAUDERDALE, BROWARD, FL, 33308-2226
Project Congressional District FL-23
Number of Employees 47
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 406208
Forgiveness Paid Date 2021-06-28

Related by officers

DALTON HAROLD L

PAIN MANAGEMENT REVIEWS, INC.

CAIRNS KEVIN D

6000 NORTH FEDERAL HIGHWAY, LLC ADVANCE POWER WASH INC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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