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  5. MOTE WELLNESS & REHAB, INC.

MOTE WELLNESS & REHAB, INC.

Company Details

Entity Name: MOTE WELLNESS & REHAB, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jan 2000 (25 years ago)
Document Number: P00000007138
FEI/EIN Number 650974787
Address: 3111 WEST BOYNTON BEACH BLVD., SUITE 200, BOYNTON BEACH, FL, 33436
Mail Address: 3111 WEST BOYNTON BEACH BLVD., SUITE 200, BOYNTON BEACH, FL, 33436
ZIP code: 33436
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326011917 2006-02-13 2009-08-17 3111 BOYNTON BEACH BLVD, SUITE # 200, BOYNTON BEACH, FL, 334364500, US 3111 BOYNTON BEACH BLVD, SUITE # 200, BOYNTON BEACH, FL, 334364500, US

Contacts
Phone +1 561-742-3283
Fax 5617423280

Authorized person
Name DR. DAVID RUSSELL MOTE
Role PRESIDENT
Phone 5617423283

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH0006242
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 22533
State FL
Issuer MEDICAID
Number 380849100
State FL
Issuer OWCP
Number 603595500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2023 650974787 2024-06-03 MOTE WELLNESS & REHAB, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2022 650974787 2023-05-26 MOTE WELLNESS & REHAB, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2021 650974787 2022-06-01 MOTE WELLNESS & REHAB, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2020 650974787 2021-06-10 MOTE WELLNESS & REHAB, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2019 650974787 2020-06-17 MOTE WELLNESS & REHAB, INC. 39
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing JCASSANDRA1964
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2019 650974787 2020-06-30 MOTE WELLNESS & REHAB, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS & REHAB, INC. 401(K) PROFIT SHARING PLAN AND T 2018 650974787 2019-06-07 MOTE WELLNESS & REHAB, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 5615960604
Plan sponsor’s address 3111 W. BOYNTON BEACH BLVD, STE. 200, BOYNTON BEACH, FL, 33436

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing JOHN CASSANDRA
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS REHAB INC 401 K PROFIT SHARING PLAN TRUST 2017 650974787 2018-07-06 MOTE WELLNESS & REHAB INC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5617423283
Plan sponsor’s address 3111 W BOYNTON BEACH BLVD STE, BOYNTON BEACH, FL, 334364613

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing ADRIANA MOTE
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS REHAB INC 401 K PROFIT SHARING PLAN TRUST 2016 650974787 2017-07-20 MOTE WELLNESS & REHAB INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5617423283
Plan sponsor’s address 3111 W BOYNTON BEACH BLVD STE, BOYNTON BEACH, FL, 334364613

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing ADRIANA MOTE
Valid signature Filed with authorized/valid electronic signature
MOTE WELLNESS REHAB INC 401 K PROFIT SHARING PLAN TRUST 2015 650974787 2016-07-21 MOTE WELLNESS & REHAB INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5617423283
Plan sponsor’s address 3111 W BOYNTON BEACH BLVD STE, BOYNTON BEACH, FL, 334364613

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ADRIANA MOTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MOTE DAVID Agent 10531 ST. ANDREWS ROAD, BOYNTON BEACH, FL, 33436

President

Name Role Address
MOTE DAVID R President 3111 WEST BOYNTON BEACH BLVD. #200, BOYNTON BEACH, FL, 33436

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-17 3111 WEST BOYNTON BEACH BLVD., SUITE 200, BOYNTON BEACH, FL 33436 No data
CHANGE OF MAILING ADDRESS 2009-04-17 3111 WEST BOYNTON BEACH BLVD., SUITE 200, BOYNTON BEACH, FL 33436 No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-09

Related by officers

MOTE DAVID

CHIRO FLORIDA LLC GREATDOCTORS REFERRAL SERVICES, INC. MOBILECEO, INC. CONNECT THE DOCS INC PALM BEACH AQUATICS & PHYSICAL THERAPY, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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