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  5. THE SPINE AND SCOLIOSIS CENTER, P.A.

THE SPINE AND SCOLIOSIS CENTER, P.A.

Company Details

Entity Name: THE SPINE AND SCOLIOSIS CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Jan 1990 (35 years ago)
Document Number: L47309
FEI/EIN Number 592986223
Address: 104 PARK PLACE BLVD., SUITE A, DAVENPORT, FL, 33837, US
Mail Address: 104 PARK PLACE BLVD., SUITE A, DAVENPORT, FL, 33837, US
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497703656 2006-05-04 2022-09-21 104 PARK PLACE BLVD STE A, DAVENPORT, FL, 338376866, US 104 PARK PLACE BLVD STE A, DAVENPORT, FL, 338376866, US

Contacts
Phone +1 407-849-1200
Fax 4078417539

Authorized person
Name JOSEPH CHARLES FLYNN JR.
Role PRESIDENT
Phone 4078491200

Taxonomy
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2023 592986223 2024-09-19 SPINE AND SCOLIOSIS CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 104 PARK PLACE BLVD, SUITE A, DAVENPORT, FL, 33837
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2022 592986223 2023-09-28 SPINE AND SCOLIOSIS CENTER, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 104 PARK PLACE BLVD, SUITE A, DAVENPORT, FL, 33837
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2021 592986223 2022-07-25 SPINE AND SCOLIOSIS CENTER, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 104 PARK PLACE BLVD, SUITE A, DAVENPORT, FL, 33837
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2020 592986223 2021-03-09 SPINE AND SCOLIOSIS CENTER, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2019 592986223 2020-07-17 SPINE AND SCOLIOSIS CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE 2018 592986223 2019-08-31 SPINE AND SCOLIOSIS CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2017 592986223 2018-06-20 SPINE AND SCOLIOSIS CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2016 592986223 2017-07-11 SPINE AND SCOLIOSIS CENTER, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing JOSEPH C. FLYNN, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2015 592986223 2016-09-20 SPINE AND SCOLIOSIS CENTER, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing JOSEPH C. FLYNN, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF THE SPINE AND SCOLIOSIS CENTER, P.A. 2014 592986223 2015-08-28 SPINE AND SCOLIOSIS CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1131 SOUTH ORANGE AVENUE, ORLANDO, FL, 328061226

Signature of
Role Plan administrator
Date 2015-08-28
Name of individual signing JOSEPH C. FLYNN, JR., M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEWART GEOFFREY Agent 104 PARK PLACE BLVD, DAVENPORT, FL, 33837

Director

Name Role Address
STEWART GEOFFREY M.D. Director 104 PARK PLACE BLVD, DAVENPORT, FL, 33837

President

Name Role Address
STEWART GEOFFREY M.D. President 104 PARK PLACE BLVD, DAVENPORT, FL, 33837

Secretary

Name Role Address
STEWART GEOFFREY M.D. Secretary 104 PARK PLACE BLVD, DAVENPORT, FL, 33837

Treasurer

Name Role Address
STEWART GEOFFREY M.D. Treasurer 104 PARK PLACE BLVD, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
AMENDMENT 2022-07-15 No data No data
NAME CHANGE AMENDMENT 1998-04-24 THE SPINE AND SCOLIOSIS CENTER, P.A. No data
NAME CHANGE AMENDMENT 1996-03-11 FLYNN SPINE AND SCOLIOSIS CENTER, P.A. No data

Related by officers

STEWART GEOFFREY

STEWART REAL PROPERTY HOLDINGS, LLC GGCAS INVESTMENTS, LTD. GGCAS MANAGEMENT, LLC SPINEWORKS, LLC

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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