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CERTIFIED SPINE AND PAIN CARE, LLC - Florida Company Profile

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Company Details

Entity Name: CERTIFIED SPINE AND PAIN CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CERTIFIED SPINE AND PAIN CARE, 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: 13 Oct 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2016 (9 years ago)
Document Number: L15000174197
FEI/EIN Number 475514725

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

Address: 1049 S STATE RD 7, Wellington, FL, 33414, US
Mail Address: 1049 S STATE RD 7, Wellington, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EDWIN MALDONADO WDR Manager 1211 CREKSIDE DR, WELLINGTON, FL, 33414
MALDONADO EDWIN W Agent 1211 CREEKSIDE DR, WELLINGTON, FL, 33414

National Provider Identifier

NPI Number:
1982389417
Certification Date:
2023-06-21

Authorized Person:

Name:
JORGE GARCIA
Role:
CREDENTIALING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Legal Entity Identifier

LEI Number:
549300GSAHVPBGPU4Q65

Registration Details:

Initial Registration Date:
2022-06-24
Next Renewal Date:
2023-06-23
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000021538 CERTIFIED SPINE AND PAIN CARE, LLC EXPIRED 2017-02-28 2022-12-31 - 3345 BURNS ROAD, SUITE 202, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-06-06 1049 S STATE RD 7, Wellington, FL 33414 -
CHANGE OF MAILING ADDRESS 2019-06-06 1049 S STATE RD 7, Wellington, FL 33414 -
REINSTATEMENT 2016-10-17 - -
REGISTERED AGENT NAME CHANGED 2016-10-17 MALDONADO, EDWIN W -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-07-26
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-01
ANNUAL REPORT 2017-03-15
REINSTATEMENT 2016-10-17

USAspending Awards / Financial Assistance

Date:
2021-03-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
122223.00
Total Face Value Of Loan:
122223.00
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
93500.00
Total Face Value Of Loan:
93500.00

Paycheck Protection Program

Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
122223
Current Approval Amount:
122223
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
123122.7
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93500
Current Approval Amount:
93500
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
94606.42

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Date of last update: 02 Jul 2025

Sources: Florida Department of State