| Entity Name: | MEDICUSSX SPINE & JOINT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDICUSSX SPINE & JOINT, 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: | 22 Apr 2020 (5 years ago) |
| Document Number: | L20000110176 |
| FEI/EIN Number |
85-0796712
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4540 Southside Blvd., Building 202, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4540 Southside Blvd., Building 202, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932729639 | 2020-04-22 | 2023-04-11 | 4540 SOUTHSIDE BLVD, SUITE 202, JACKSONVILLE, FL, 32216, US | 4540 SOUTHSIDE BLVD, JACKSONVILLE, FL, 32216, US | |||||||||||||||||||||||||||
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| Phone | +1 904-503-1065 |
| Fax | 9043746075 |
Authorized person
| Name | DR. JASON T. MARUCCI |
| Role | CEO |
| Phone | 9045031065 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207XX0801X - Orthopaedic Trauma Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICUSSX SPINE & JOINT LLC 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 850796712 | 2022-06-14 | MEDICUSSX SPINE & JOINT LLC | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-14 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Silver Shane | Agent | 4540 Southside Blvd., JACKSONVILLE, FL, 32216 |
| CSTS HEALTH SOLUTIONS, LLC | Manager | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-06-06 | Silver, Shane | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-04 | 4540 Southside Blvd., Building 202, JACKSONVILLE, FL 32216 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-04 | 4540 Southside Blvd., Building 202, JACKSONVILLE, FL 32216 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-04 | 4540 Southside Blvd., Building 202, JACKSONVILLE, FL 32216 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-06 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-04-28 |
| AMENDED ANNUAL REPORT | 2022-05-31 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-27 |
| Florida Limited Liability | 2020-04-22 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
