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TOTAL SPINE & WELLNESS LLC

Company Details

Entity Name: TOTAL SPINE & WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Jul 2020 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 22 Dec 2023 (a year ago)
Document Number: L20000207168
FEI/EIN Number 85-2841394
Address: 709 S Harbor City Blvd, Suite 110, MELBOURNE, FL 32901
Mail Address: 709 S Harbor City Blvd, Suite 110, MELBOURNE, FL 32901
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851907828 2020-09-16 2023-09-25 709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL, 329011938, US 709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL, 329011938, US

Contacts

Phone +1 321-499-4646

Authorized person

Name JOHN STEWART
Role CEO/CFO
Phone 8137315143

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOTAL SPINE & WELLNESS 401(K) PLAN 2023 852841394 2024-06-18 TOTAL SPINE & WELLNESS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621310
Sponsor’s telephone number 8137315143
Plan sponsor’s address 709 S HARBOR CITY BLVD, STE 110, MELBOURNE, FL, 32901
TOTAL SPINE & WELLNESS DEFINED BENEFIT PLAN 2023 852841394 2024-06-18 TOTAL SPINE & WELLNESS LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621310
Sponsor’s telephone number 8137315143
Plan sponsor’s address 709 S HARBOR CITY BLVD, STE 110, MELBOURNE, FL, 32901

Agent

Name Role Address
STEWART, TARALYNN Agent 6785 ARROYO DRIVE, MELBOURNE, FL 32940

Chief Executive Officer

Name Role Address
STEWART, JOHN Chief Executive Officer 6785 ARROYO DRIVE, MELBOURNE 32940 UN

Chief Financial Officer

Name Role Address
STEWART, JOHN Chief Financial Officer 6785 ARROYO DRIVE, MELBOURNE 32940 UN

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000010313 NONA MEDICAL ARTS ACTIVE 2024-01-18 2029-12-31 No data 9145 NARCOOSSEE RD STE A200, ORLANDO, FL, 32827
G24000005209 TOTAL SPINE & ORTHOPEDICS ACTIVE 2024-01-09 2029-12-31 No data 790 S HARBOR CITY BLVD SUITE 110, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
MERGER 2023-12-22 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000248237
CHANGE OF PRINCIPAL ADDRESS 2023-10-23 709 S Harbor City Blvd, Suite 110, MELBOURNE, FL 32901 No data
CHANGE OF MAILING ADDRESS 2023-10-23 709 S Harbor City Blvd, Suite 110, MELBOURNE, FL 32901 No data
LC AMENDMENT 2021-01-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
Merger 2023-12-22
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-03-10
LC Amendment 2021-01-25
Florida Limited Liability 2020-07-16

Date of last update: 15 Jan 2025

Sources: Florida Department of State