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  5. SPINE & HEALTHCARE CLINIC, LLC.

SPINE & HEALTHCARE CLINIC, LLC.

Company Details

Entity Name: SPINE & HEALTHCARE CLINIC, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Dec 2011 (13 years ago)
Document Number: L11000135713
FEI/EIN Number 45-3949788
Address: 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837
Mail Address: 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837
ZIP code: 32837
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821367434 2011-12-28 2011-12-28 12250 MENTA ST, SUITE 205-206, ORLANDO, FL, 328377539, US 12250 MENTA ST, SUITE 205-206, ORLANDO, FL, 328377539, US

Contacts
Phone +1 407-856-0076
Fax 4078560751

Authorized person
Name MICHELLE LEE BROWN
Role CHIROPRACTOR/ OWNER
Phone 4078560076

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH9315
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2023 453949788 2024-06-12 SPINE & HEALTHCARE CLINIC, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2022 453949788 2023-07-21 SPINE & HEALTHCARE CLINIC, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2023-07-21
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2021 453949788 2022-09-26 SPINE & HEALTHCARE CLINIC, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2022-09-26
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2020 453949788 2021-10-14 SPINE & HEALTHCARE CLINIC, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2019 453949788 2020-10-15 SPINE & HEALTHCARE CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature
SPINE & HEALTHCARE CLINIC, LLC 401(K) PLAN 2018 453949788 2019-10-15 SPINE & HEALTHCARE CLINIC, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621310
Sponsor’s telephone number 4078560076
Plan sponsor’s address 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MICHELLE BROWN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BROWN, MICHELLE L Agent 12250 MENTA STREET, 206, ORLANDO, FL 32837

President

Name Role Address
BROWN, MICHELLE L President 12250 MENTA STREET, SUITE 206, ORLANDO, FL 32837

Vice President

Name Role Address
Camacho, Sandra Vice President 12250 Menta Street, Suite 205 Orlando, FL 32837

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-12-30 12250 MENTA STREET, 206, ORLANDO, FL 32837 No data
CHANGE OF PRINCIPAL ADDRESS 2011-12-15 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837 No data
CHANGE OF MAILING ADDRESS 2011-12-15 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-28

Related by officers

BROWN, MICHELLE L

HEDGEPATH PHARMACEUTICALS, INC. MICHELLEBNATURAL LLC BUILDING GENERATIONS OF HOPE, INC. B2 CONSTRUCTION SERVICES LLC THE JOURNEY WITHIN, LLC BUILDING GENERATIONS OF HOPE, CORP UNDER GROUND RETAIL STORE LLC

Camacho, Sandra

CHARTERED EQUITY CORP VOICE OF LOVE TRAINING AND DEVELOPMENT, INC. BULLSEYE FINANCIAL SERVICES, LLC.

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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