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  5. SPINE & BRAIN NEUROSURGERY CENTER, INC.

SPINE & BRAIN NEUROSURGERY CENTER, INC.

Company Details

Entity Name: SPINE & BRAIN NEUROSURGERY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jun 2003 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 May 2008 (17 years ago)
Document Number: P03000060447
FEI/EIN Number 200029282
Address: 7460 Doc's Grove Circle, ORLANDO, FL, 32819, US
Mail Address: 7460 Doc's Grove Circle, ORLANDO, FL, 32819, US
ZIP code: 32819
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245217744 2005-12-27 2020-09-10 7460 DOCS GROVE CIR, ORLANDO, FL, 328198010, US 7460 DOCS GROVE CIR, ORLANDO, FL, 328198010, US

Contacts
Phone +1 407-423-7172
Fax 4074239505
Phone +1 407-903-9360

Authorized person
Name MRS. DEBBIE MACLAUGHLIN
Role ADMINISTRATION
Phone 4074237172

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE & BRAIN NEUROSURGERY CENTER, INC. DEFINED BENEFIT PENSION PLAN 2023 200029282 2025-01-10 SPINE & BRAIN NEUROSURGERY CENTER, INC. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. 401(K) PROFIT SHARING PLAN 2023 200029282 2025-01-10 SPINE & BRAIN NEUROSURGERY CENTER, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. 401(K) PROFIT SHARING PLAN 2022 200029282 2023-07-24 SPINE & BRAIN NEUROSURGERY CENTER, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. DEFINED BENEFIT PENSION PLAN 2022 200029282 2023-07-24 SPINE & BRAIN NEUROSURGERY CENTER, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. DEFINED BENEFIT PENSION PLAN 2021 200029282 2022-04-18 SPINE & BRAIN NEUROSURGERY CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. 401(K) PROFIT SHARING PLAN 2021 200029282 2022-04-18 SPINE & BRAIN NEUROSURGERY CENTER, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. 401(K) PROFIT SHARING PLAN 2020 200029282 2021-09-06 SPINE & BRAIN NEUROSURGERY CENTER, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. DEFINED BENEFIT PENSION PLAN 2020 200029282 2021-09-06 SPINE & BRAIN NEUROSURGERY CENTER, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. 401(K) PROFIT SHARING PLAN 2019 200029282 2020-10-15 SPINE & BRAIN NEUROSURGERY CENTER, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819
SPINE & BRAIN NEUROSURGERY CENTER, INC. DEFINED BENEFIT PENSION PLAN 2019 200029282 2020-10-02 SPINE & BRAIN NEUROSURGERY CENTER, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079039360
Plan sponsor’s address 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819

Agent

Name Role Address
RAZACK NIZAM Agent 7460 Doc's Grove Circle, ORLANDO, FL, 32819

Director

Name Role Address
RAZACK NIZAM Director 7460 Doc's Grove Circle, ORLANDO, FL, 32819

President

Name Role Address
RAZACK NIZAM President 7460 Doc's Grove Circle, ORLANDO, FL, 32819

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09076900323 SPINE AND BRAIN CENTER EXPIRED 2009-03-17 2014-12-31 No data 7460 DOC'S GROVE CIRCLE, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-05-09 7460 Doc's Grove Circle, ORLANDO, FL 32819 No data
CHANGE OF MAILING ADDRESS 2013-05-09 7460 Doc's Grove Circle, ORLANDO, FL 32819 No data
REGISTERED AGENT ADDRESS CHANGED 2013-05-09 7460 Doc's Grove Circle, ORLANDO, FL 32819 No data
AMENDMENT 2008-05-27 No data No data
AMENDMENT AND NAME CHANGE 2004-08-27 SPINE & BRAIN NEUROSURGERY CENTER, INC. No data
AMENDMENT 2003-08-04 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-20

Related by officers

RAZACK NIZAM

SIMPLE GENIUS HOLDINGS, LLC. 250 NORTH ORANGE GYM AND WELLNESS, LLC BRAINSURGE GLOBAL SUPPORT FOUNDATION INC MEDIRESOLVE SERVICES INC WOLVERINEFUND CORP. SANDLAKE NEUROSCIENCE INSTITUTE LLC IMAGE GUIDED SPINE & BRAIN CENTER, LLC SANDLAKE NEUROSCIENCE INSTITUTE LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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