| Entity Name: | INNOVATIVE PHYSIATRY SPINE CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INNOVATIVE PHYSIATRY SPINE 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. |
| 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: | 06 Jun 2017 (8 years ago) |
| Document Number: | L17000123417 |
| FEI/EIN Number |
82-1817146
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 165 Durbin Station Ct, St. Johns, FL, 32259, US |
| Mail Address: | P O BOX 385, PONTE VEDRA BEACH, FL, 32004, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487175881 | 2017-07-06 | 2021-09-02 | PO BOX 385, PONTE VEDRA BEACH, FL, 320040385, US | 165 DURBIN STATION CT STE 601, ST JOHNS, FL, 322599370, US | |||||||||||||||||||
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| Phone | +1 904-671-0288 |
| Fax | 9045080674 |
Authorized person
| Name | SECK LIM |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9046710288 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | OS12124 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEE SUYIN J | Chief Executive Officer | P O BOX 385, PONTE VEDRA BEACH, FL, 32004 |
| LIM SECK S | Chief Operating Officer | P O BOX 385, PONTE VEDRA BEACH, FL, 32004 |
| LEE SUYIN J | Agent | 165 Durbin Station Ct, St. Johns, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-30 | 165 Durbin Station Ct, Suite 601, St. Johns, FL 32259 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-30 | 165 Durbin Station Ct, Suite 601, St. Johns, FL 32259 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-14 |
| Florida Limited Liability | 2017-06-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8059388403 | 2021-02-12 | 0491 | PPS | 165 Durbin Station Ct Ste 601, St Johns, FL, 32259-9370 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4995437305 | 2020-04-30 | 0491 | PPP | 161 HAMPTON POINT DRIVE SUITE 4, ST AUGUSTINE, FL, 32092 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3264846 | INNOVATIVE PHYSIATRY SPINE CLINIC, LLC | - | THFRQDG4M765 | 165 DURBIN STATION CT # 601, SAINT JOHNS, FL, 32259-9370 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621111 |
| NAICS Code's Description | Offices of Physicians (except Mental Health Specialists) |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
