| Entity Name: | SPINE SPECIALISTS OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SPINE SPECIALISTS OF SOUTH FLORIDA, 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. |
| 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: | 26 Jun 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Apr 2018 (7 years ago) |
| Document Number: | L15000111763 |
| FEI/EIN Number |
47-4497046
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2047 Palm Beach Lakes Boulevard, West Palm Beach, FL, 33409, US |
| Mail Address: | 2047 Palm Beach Lakes Boulevard, West Palm Beach, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790144004 | 2016-02-15 | 2016-02-15 | 6699 W BOYNTON BEACH BLVD, SUITE B, BOYNTON BEACH, FL, 334373527, US | 6699 W BOYNTON BEACH BLVD, SUITE B, BOYNTON BEACH, FL, 334373527, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-507-0800 |
Authorized person
| Name | CARIANNE YANTZ |
| Role | SURGICAL SCHEDULER |
| Phone | 5615070800 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015608400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CUTLER JONATHAN | Manager | 2047 PALM BEACH LAKES BLVD SUITE 100, WEST PALM BEACH, FL, 33409 |
| WALKER JACQUELIN | Vice President | 2047 PALM BEACH LAKES BOULEVARD, West Palm Beach, FL, 33409 |
| Cutler Jonathan | Agent | 2047 Palm Beach Lakes Boulevard, WEST PALM BEACH, FL, 33409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000013130 | SPINE AND ORTHOPEDIC SPECIALISTS OF SOUTH FLORIDA LLC | ACTIVE | 2020-01-28 | 2025-12-31 | - | 6699 WEST BOYNTON BEACH BLVD, STE B, BOYNTON BEACH, FL, 33437 |
| G16000032421 | SPINE AND ORTHOPEDIC SPECIALISTS OF CENTRAL FLORIDA | EXPIRED | 2016-03-29 | 2021-12-31 | - | 6699 BOYNTON BEACH, SUITE B, BOYNTON BEACH, FL, 33437 |
| G15000080236 | SPINE AND ORTHOPEDIC SPECIALISTS OF SOUTH FLORIDA | ACTIVE | 2015-08-03 | 2025-12-31 | - | 2047 PALM BEACH LAKES BOULEVARD, WEST PALM BEACH, FL, 33409 |
| G15000076575 | ORTHOPEDIC AND SPINE SPECIALISTS OF SOUTH FLORIDA | ACTIVE | 2015-07-23 | 2025-12-31 | - | 2047 PALM BEACH LAKES BOULEVARD, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2018-04-18 | - | - |
| LC AMENDMENT | 2017-08-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-07-21 | 2047 Palm Beach Lakes Boulevard, West Palm Beach, FL 33409 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-07-21 | 2047 Palm Beach Lakes Boulevard, WEST PALM BEACH, FL 33409 | - |
| CHANGE OF MAILING ADDRESS | 2017-07-21 | 2047 Palm Beach Lakes Boulevard, West Palm Beach, FL 33409 | - |
| REGISTERED AGENT NAME CHANGED | 2017-07-21 | Cutler, Jonathan | - |
| LC AMENDMENT | 2015-11-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-04-03 |
| LC Amendment | 2018-04-18 |
| ANNUAL REPORT | 2018-03-28 |
| LC Amendment | 2017-08-21 |
| AMENDED ANNUAL REPORT | 2017-07-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2950647208 | 2020-04-16 | 0455 | PPP | 6699 West Boynton Beach Boulevard, Boynton Beach, FL, 33437 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Apr 2025
Sources: Florida Department of State
