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  5. SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC

SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC

Company Details

Entity Name: SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Feb 2011 (14 years ago)
Document Number: L11000016037
FEI/EIN Number 274817964
Address: 3900 CLARK RD, H1, SARASOTA, FL, 34233, US
Mail Address: 3900 CLARK RD, H1, SARASOTA, FL, 34233, US
ZIP code: 34233
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003330838 2017-08-02 2024-04-11 3900 CLARK RD STE H1, SARASOTA, FL, 342332366, US 5517 21ST AVE W STE F, BRADENTON, FL, 342095604, US

Contacts
Phone +1 941-926-1600
Fax 9419261166
Phone +1 941-321-9002

Authorized person
Name JONATHAN A BERMAN
Role OWNER
Phone 9419261600

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
State FL
Is Primary Yes
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No

Other Provider Identifiers
Issuer DME
Number 7276950002
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC CASH BALANCE PLAN 2023 274817964 2024-10-15 SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 9419261600
Plan sponsor’s address 3900 CLARK ROAD, SUITE HI, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JONATHAN BERMAN
Valid signature Filed with authorized/valid electronic signature
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 401(K) PROFIT SHARING PLAN 2023 274817964 2024-10-15 SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 9419261600
Plan sponsor’s address 3900 CLARK ROAD, SUITE HI, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JONATHAN BERMAN
Valid signature Filed with authorized/valid electronic signature
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC CASH BALANCE PLAN 2022 274817964 2023-10-26 SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 9419261600
Plan sponsor’s address 3900 CLARK ROAD, SUITE HI, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2023-10-26
Name of individual signing JONATHAN BERMAN
Valid signature Filed with authorized/valid electronic signature
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 401(K) PROFIT SHARING PLAN 2022 274817964 2023-10-16 SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 9419261600
Plan sponsor’s address 3900 CLARK ROAD, SUITE HI, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JONATHAN BERMAN
Valid signature Filed with authorized/valid electronic signature
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 401(K) PROFIT SHARING PLAN 2021 274817964 2022-10-12 SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 9419261600
Plan sponsor’s address 3900 CLARK ROAD, SUITE HI, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing JONATHAN BERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BERMAN JONATHAN A Agent 3900 CLARK RD, SARASOTA, FL, 34233

Manager

Name Role Address
BERMAN JONATHAN A Manager 3900 CLARK RD H1, SARASOTA, FL, 34233

Auth

Name Role Address
Uzabel Samuel Dr. Auth 3900 CLARK RD, SARASOTA, FL, 34233

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000010821 SARASOTA SPINE AND JOINT INTEGRATED MEDICAL ACTIVE 2020-01-23 2025-12-31 No data 3900 CLARK RD, H-1, SARASOTA, FL, 34233
G17000018786 FLORIDA SPINE &JOINT INTEGRATED MEDICAL EXPIRED 2017-02-21 2022-12-31 No data 3900, SARASOTA, FL, 34237
G17000010247 BRADENTON SPINE & JOINT INTEGRATED MEDICAL ACTIVE 2017-01-27 2027-12-31 No data 4705 26TH STREET WEST, SUITE B, BRADENTON, FL, 34207
G15000053478 BRADENTON KNEE & JOINT RELIEF CENTER EXPIRED 2015-06-02 2020-12-31 No data 3900 CLARK RD. H1, SARASOTA, FL, 34233
G14000102816 SARASOTA SPINE & JOINT INTEGRATED MEDICAL EXPIRED 2014-10-09 2019-12-31 No data 3900 CLARK RD, SUITE H1, SARASOTA, FL, 34233
G13000030992 SARASOTA SPINE & JOINT SPECIALISTS EXPIRED 2013-03-30 2018-12-31 No data 3900 CLARK RD H1, SARASOTA, FL, 34233

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-21

Related by officers

BERMAN JONATHAN A

INTEGRATED MEDICAL MANAGEMENT, LLC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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