| Entity Name: | SPINE AND BRAIN SURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jul 2011 (14 years ago) |
| Document Number: | L11000083724 |
| FEI/EIN Number | 45-3137948 |
| Address: | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 |
| Mail Address: | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992055131 | 2012-09-14 | 2024-10-23 | 5341 W ATLANTIC AVE STE 302, DELRAY BEACH, FL, 334848166, US | 5341 W ATLANTIC AVE STE 302, DELRAY BEACH, FL, 33484, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-403-5175 |
| Fax | 8663138923 |
Authorized person
| Name | MRS. MARY NEWELL |
| Role | ADMINISTRATION |
| Phone | 5614035175 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | ME98749 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHETH, RISHI N | Agent | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 |
| Name | Role | Address |
|---|---|---|
| SHETH, RISHI N | Manager | 5341 West Atlantic Avenue, Suite 302 Delray Beach, FL 33484 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000056857 | SURGICAL SUPPORT SERVICE | ACTIVE | 2024-04-29 | 2029-12-31 | No data | 5341 WEST ATLANTIC AVE, 302, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-18 | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-18 | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-18 | 5341 West Atlantic Avenue, Suite 302, Delray Beach, FL 33484 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-24 | SHETH, RISHI N | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-22 |
| ANNUAL REPORT | 2016-01-06 |
| ANNUAL REPORT | 2015-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4773828610 | 2021-03-20 | 0455 | PPS | 5341 Atlantic Avenue, DELRAY BEACH, FL, 33484-8167 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5575077008 | 2020-04-05 | 0455 | PPP | 5341 W. Atlantic Ave Suite 302, DELRAY BEACH, FL, 33484-8166 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 23 Feb 2025
Sources: Florida Department of State
