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. |
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 |
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 | |||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
NAKAYAMA RACHEL | Manager | 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127 |
Nakayama Rachel | Agent | 800 DUNLAWTON AVE., PORT ORANGE, FL, 32127 |
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 | - |
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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
3345117808 | 2020-05-26 | 0491 | PPP | 800 DUNLAWTON AVENUE UNIT 103, PORT ORANGE, FL, 32127-4248 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Date of last update: 01 Mar 2025
Sources: Florida Department of State