Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33437
    5. ›
  5. CAMERON SPINE LLC

CAMERON SPINE LLC - Florida Company Profile

Company Details

Entity Name: CAMERON SPINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CAMERON SPINE 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: 07 Sep 2010 (15 years ago)
Document Number: L10000093534
FEI/EIN Number 273399686

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6080 Boynton Beach Blvd, Suite # 100, Boynton Beach, FL, 33437, US
Mail Address: 6586 HYPOLUXO ROAD STE 334, LAKE WORTH, FL, 33467, US
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396054938 2010-09-30 2018-08-16 6586 HYPOLUXO RD, STE 334, LAKE WORTH, FL, 33467, US 12989 SOUTHERN BLVD, SUITE 202, LOXAHATCHEE, FL, 33470, US

Contacts
Phone +1 877-412-7272
Fax 5619670954

Authorized person
Name DR. BLAINE SIMONE CAMERON
Role OWNER/PRINCIPAL
Phone 9545302643

Taxonomy
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number ME86864
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMERON SPINE 401K PLAN 2023 273399686 2024-05-28 CAMERON SPINE, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2022 273399686 2023-06-01 CAMERON SPINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2023-06-01
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2021 273399686 2022-06-24 CAMERON SPINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2020 273399686 2021-07-15 CAMERON SPINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2019 273399686 2020-06-19 CAMERON SPINE, LLC 4
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing MCAMERON9402
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2019 273399686 2020-06-30 CAMERON SPINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2018 273399686 2019-07-11 CAMERON SPINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2017 273399686 2018-07-12 CAMERON SPINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature
CAMERON SPINE 401K PLAN 2016 273399686 2017-09-19 CAMERON SPINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 9548685201
Plan sponsor’s address 11860 NW 17TH PLACE, PLANTATION, FL, 33323

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing MARSHA CAMERON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CAMERON BLAINE Managing Member 11860 NW 17TH PLACE, PLANTATION, FL, 33323
CAMERON BLAINE Agent 6586 HYPOLUXO ROAD STE 334, LAKE WORTH, FL, 33467

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-06-21 6080 Boynton Beach Blvd, Suite # 100, Boynton Beach, FL 33437 -
REGISTERED AGENT ADDRESS CHANGED 2024-06-21 6586 HYPOLUXO ROAD STE 334, LAKE WORTH, FL 33467 -
CHANGE OF PRINCIPAL ADDRESS 2019-02-04 6080 Boynton Beach Blvd, Suite # 100, Boynton Beach, FL 33437 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-21
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6314327704 2020-05-01 0455 PPP 11860 NW 17TH PL, PLANTATION, FL, 33323-2232
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40336
Loan Approval Amount (current) 40336
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address PLANTATION, BROWARD, FL, 33323-2232
Project Congressional District FL-25
Number of Employees 15
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 40720.57
Forgiveness Paid Date 2021-04-15

Companies related by officers

CAMERON BLAINE

CAMERON HOLDINGS, INC. - Inactive
Domestic Profit (2001 - 2002)
36D, LLC - Inactive
Florida Limited Liability Co. (2009 - 2021)
36D, LLC - Inactive
Florida Limited Liability Co. (2009 - 2021)
SAFESURGERY INC - Inactive
Domestic Profit (2006 - 2007)
DURABLE MEDICAL EQUIPMENT EXPORTING, LLC - Inactive
Florida Limited Liability Co. (2010 - 2011)
DURABLE MEDICAL EQUIPMENT EXPORTING, LLC - Inactive
Florida Limited Liability Co. (2010 - 2011)
CAMERON SCHOLARSHIP CENTER, INC. - Active
Foreign Non-Profit (2012 )
CAMERON CLINICS LLC - Active
Florida Limited Liability Co. (2003 )
LIGHTHOUSE PAIN & ANESTHESIA LLC - Inactive
Florida Limited Liability Co. (2010 - 2011)
BCMD PAIN MANAGEMENT, LLC - Active
Florida Limited Liability Co. (2007 )

Companies related by address

No other companies in our directory share the same address as CAMERON SPINE LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated