| Entity Name: | SOUTH FLORIDA BACK SPINE AND SCOLIOSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Sep 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2020 (4 years ago) |
| Document Number: | L17000193018 |
| FEI/EIN Number | 82-2816889 |
| Address: | 450 NORTH FEDERAL HWY, 611, BOYNTON BEACH, FL 33435 |
| Mail Address: | 450 NORTH FEDERAL HWY, 611, BOYNTON BEACH, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992214464 | 2017-09-27 | 2024-04-24 | 450 N FEDERAL HWY UNIT 611, BOYNTON BEACH, FL, 334354187, US | 15300 S JOG RD, DELRAY BEACH, FL, 334462162, US | |||||||||||||||
|
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| Phone | +1 561-345-1780 |
| Fax | 5612144007 |
Authorized person
| Name | MATTHEW HEPLER |
| Role | OWNER |
| Phone | 3123756337 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HEPLER, MATTHEW D, MD | Agent | 450 NORTH FEDERAL HWY, 611, BOYNTON BEACH, FL 33435 |
| Name | Role | Address |
|---|---|---|
| HEPLER, MATTHEW D | Authorized Member | 450 NORTH FEDERAL HWY 611, BOYNTON BEACH, FL 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-14 | HEPLER, MATTHEW D, MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2017-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-03-13 |
| REINSTATEMENT | 2020-10-14 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-09-26 |
| Florida Limited Liability | 2017-09-18 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
