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  5. SPINE & HEALTHCARE CLINIC, LLC.

SPINE & HEALTHCARE CLINIC, LLC. - Florida Company Profile

Company Details

Entity Name: SPINE & HEALTHCARE CLINIC, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SPINE & HEALTHCARE CLINIC, 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: 01 Dec 2011 (13 years ago)
Document Number: L11000135713
FEI/EIN Number 453949788

Federal Employer Identification (FEI) Number assigned by the IRS.
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

Key Officers & Management

Name Role Address
BROWN MICHELLE L President 12250 MENTA STREET, SUITE 206, ORLANDO, FL, 32837
Camacho Sandra Vice President 12250 Menta Street, Orlando, FL, 32837
BROWN MICHELLE L Agent 12250 MENTA STREET, ORLANDO, FL, 32837

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-12-30 12250 MENTA STREET, 206, ORLANDO, FL 32837 -
CHANGE OF PRINCIPAL ADDRESS 2011-12-15 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837 -
CHANGE OF MAILING ADDRESS 2011-12-15 12250 MENTA ST. SUITE 206, ORLANDO, FL 32837 -

Court Cases

Title Case Number Docket Date Status
SPINE & HEALTHCARE CLINIC, LLC A/A/O RONY SILVA VS STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 5D2021-1169 2021-05-11 Closed
Classification NOA Final - County Civil - PIP
Court 5th District Court of Appeal
Originating Court Circuit Court for the Seventh Judicial Circuit, Volusia County
2017-34258-COCI

Parties
Name Rony Silva
Role Appellant
Status Active
Name SPINE & HEALTHCARE CLINIC, LLC.
Role Appellant
Status Active
Representations Mac Samuel Phillips
Name STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Role Appellee
Status Active
Representations Marcy Levine Aldrich DNU, Nancy A. Copperthwaite, Timothy Robert Weaver
Name Hon. Belle Schumann
Role Judge/Judicial Officer
Status Active
Name Volusia Cty Circuit Crt Clerk
Role Lower Tribunal Clerk
Status Active

Docket Entries
Docket Date 2022-01-03
Type Mandate
Subtype Notice Memorandum
Description Notice Memorandum
Docket Date 2021-12-13
Type Order
Subtype Order on Motion/Notice Voluntary Dismissal (non-dispositive)
Description Order Granting Voluntary Dismissal ~ STAY VACATED AND APPEAL DISMISSED; MOT TO CONSOLIDATE MOOT
Docket Date 2022-01-03
Type Record
Subtype Returned Records
Description Returned Records ~ NO RECORD E-FILED
Docket Date 2021-12-13
Type Disposition
Subtype Dismissed
Description Dismissed - Order by Judge
Docket Date 2021-12-10
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal ~ AMENDED
On Behalf Of State Farm Mutual Automobile Insurance Company
Docket Date 2021-12-09
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal
On Behalf Of State Farm Mutual Automobile Insurance Company
Docket Date 2021-06-08
Type Order
Subtype Order re Stay
Description ORD-Case Stayed ~ PENDING SC18-1390 IN THE FLORIDA SUPREME COURT
Docket Date 2021-05-24
Type Notice
Subtype Notice of Appearance
Description Notice of Appearance
On Behalf Of State Farm Mutual Automobile Insurance Company
Docket Date 2021-05-24
Type Motions Other
Subtype Motion To Consolidate
Description Motion To Consolidate
On Behalf Of State Farm Mutual Automobile Insurance Company
Docket Date 2021-05-21
Type Mediation
Subtype Mediation Questionnaire
Description Mediation Questionnaire ~ AA Mac Samuel Phillips 0195413
On Behalf Of Spine & Healthcare Clinic, LLC
Docket Date 2021-05-19
Type Notice
Subtype Amended Notice of Appeal
Description Amended Notice of Appeal ~ PER; 05/12/21 ORDER
On Behalf Of Spine & Healthcare Clinic, LLC
Docket Date 2021-05-19
Type Misc. Events
Subtype Case Filing Fee Paid through Portal
Description CASE FILING FEE PAID THROUGH PORTAL
On Behalf Of Spine & Healthcare Clinic, LLC
Docket Date 2021-05-12
Type Order
Subtype Mediation Letter to LT
Description Mediation Letter to L.T.
Docket Date 2021-05-12
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgement Letter 1
Docket Date 2021-05-11
Type Notice
Subtype Notice of Appeal
Description Notice of Appeal Filed ~ FILED BELOW 5/8/2021
On Behalf Of Spine & Healthcare Clinic, LLC
Docket Date 2021-05-11
Type Misc. Events
Subtype Fee Status
Description FP:Fee Paid Through Portal

Documents

Name Date
ANNUAL REPORT 2025-02-18
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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8716868504 2021-03-10 0491 PPS 12250 Menta St Ste 205, Orlando, FL, 32837-7539
Loan Status Date 2022-07-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67500
Loan Approval Amount (current) 67500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32837-7539
Project Congressional District FL-09
Number of Employees 13
NAICS code 621310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 68312.18
Forgiveness Paid Date 2022-05-31

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Camacho Sandra

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Companies related by address

No other companies in our directory share the same address as SPINE & HEALTHCARE CLINIC, LLC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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