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ELITE SPINE LLC - Florida Company Profile

Company Details

Entity Name: ELITE SPINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ELITE SPINE 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: 07 Jan 2016 (9 years ago)
Document Number: L16000005612
FEI/EIN Number 81-0978310

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

Address: 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127, US
Mail Address: 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639698269 2017-09-14 2021-10-04 800 DUNLAWTON AVE STE 103, PORT ORANGE, FL, 321274249, US 800 DUNLAWTON AVE STE 103, PORT ORANGE, FL, 321274249, US

Contacts

Phone +1 386-265-0102
Fax 3864012316

Authorized person

Name RACHEL NAKAYAMA
Role OWNER
Phone 3868722929

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number CH12049
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1295271344
State FL

Key Officers & Management

Name Role Address
NAKAYAMA RACHEL Manager 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127
Nakayama Rachel Agent 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-22 Nakayama, Rachel -
CHANGE OF PRINCIPAL ADDRESS 2020-02-11 800 DUNLAWTON AVE., 103, PORT ORANGE, FL 32127 -
CHANGE OF MAILING ADDRESS 2020-02-11 800 DUNLAWTON AVE., 103, PORT ORANGE, FL 32127 -
REGISTERED AGENT ADDRESS CHANGED 2020-02-11 800 DUNLAWTON AVE., 103, PORT ORANGE, FL 32127 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-18
Florida Limited Liability 2016-01-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2968478602 2021-03-16 0491 PPS 5524 Estero Loop, Port Orange, FL, 32128-0006
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 9450
Loan Approval Amount (current) 9450
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 Port Orange, VOLUSIA, FL, 32128-0006
Project Congressional District FL-07
Number of Employees 2
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 9505.31
Forgiveness Paid Date 2021-10-19
3345117808 2020-05-26 0491 PPP 800 DUNLAWTON AVENUE UNIT 103, PORT ORANGE, FL, 32127-4248
Loan Status Date 2021-05-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 6794
Loan Approval Amount (current) 6794
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 PORT ORANGE, VOLUSIA, FL, 32127-4248
Project Congressional District FL-07
Number of Employees 2
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 6850.78
Forgiveness Paid Date 2021-03-31

Date of last update: 01 Mar 2025

Sources: Florida Department of State