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  5. JACKSONVILLE SPINE CENTER, P.A.

JACKSONVILLE SPINE CENTER, P.A.

Company Details

Entity Name: JACKSONVILLE SPINE CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Jul 2003 (22 years ago)
Document Number: P03000077772
FEI/EIN Number 20-0091237
Address: 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224
Mail Address: 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224
ZIP code: 32224
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE SPINE CENTER, P. A. RETIREMENT SAVINGS PLAN 2020 200091237 2021-10-13 JACKSONVILLE SPINE CENTER, P.A. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256
JACKSONVILLE SPINE CENTER, P. A. RETIREMENT SAVINGS PLAN 2019 200091237 2020-10-15 JACKSONVILLE SPINE CENTER, P.A. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256
JACKSONVILLE SPINE CENTER, P. A. RETIREMENT SAVINGS PLAN 2018 200091237 2019-09-28 JACKSONVILLE SPINE CENTER, P.A. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256
JACKSONVILLE SPINE CENTER, P. A. RETIREMENT SAVINGS PLAN 2017 200091237 2018-06-27 JACKSONVILLE SPINE CENTER, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256
JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2016 200091237 2017-07-24 JACKSONVILLE SPINE CENTER, P.A. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing CHRISTOPHER ROBERTS, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2015 200091237 2016-09-27 JACKSONVILLE SPINE CENTER, P.A. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing CHRISTOPHER ROBERTS, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2014 200091237 2015-09-15 JACKSONVILLE SPINE CENTER, P.A. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing CHRISTOPHER ROBERTS, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2013 200091237 2014-10-09 JACKSONVILLE SPINE CENTER, P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing CHRISTOPHER ROBERTS, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2012 200091237 2013-06-12 JACKSONVILLE SPINE CENTER, P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9042233321
Plan sponsor’s address 10475 CENTURION PARKWAY NORTH, SUITE 201, JACKSONVILLE, FL, 32256

Plan administrator’s name and address
Administrator’s EIN 200091237
Plan administrator’s name JACKSONVILLE SPINE CENTER, P.A.
Plan administrator’s address 10475 CENTURION PARKWAY NORTH, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9042233321

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing CHRISTOPHER ROBERTS, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Boron, Steven Agent 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224

Director

Name Role Address
ROBERTS, CHRISTOPHER MD Director 5191 First Coast Tech Parkway,, 3RD FLOOR JACKSONVILLE, FL 32224
VINCENTY, CLAUDIO E, MD Director 5191 First Coast Tech Parkway,, 3RD FLOOR JACKSONVILLE, FL 32224
CAREY, JOHN E, MD Director 5191 First Coast Tech Parkway,, 3RD FLOOR JACKSONVILLE, FL 32224
Hanes, Michael, MD Director 5191 First Coast Tech Parkway,, 3RD FLOOR JACKSONVILLE, FL 32224
Gage, Emmanuel G, MD Director 5191 First Coast Tech Parkway,, 3RD FLOOR JACKSONVILLE, FL 32224

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000068235 CENTURION SPINE & PAIN CENTERS ACTIVE 2022-06-03 2027-12-31 No data 5191 FIRST COAST TECH PARKWAY, SUITE 300, JACKOSNVILLE, FL, 32224
G18000060370 JAX SPINE & PAIN CENTERS ACTIVE 2018-05-18 2028-12-31 No data 5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL, 32224

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-29 Boron, Steven No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224 No data
CHANGE OF PRINCIPAL ADDRESS 2022-09-19 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224 No data
CHANGE OF MAILING ADDRESS 2022-09-19 5191 First Coast Tech Parkway,, 3RD FLOOR, JACKSONVILLE, FL 32224 No data

Court Cases

Title Case Number Docket Date Status
THE SURGERY CENTER OF JACKSONVILLE, LLC D/B/A CENTERONE SURGERY CENTER VS PATRICIA GRENIER, CLAUDIO E. VINCENTY, AND JACKSONVILLE SPINE CENTER. P.A. D/B/A JAX SPINE & PAIN CENTER 5D2024-0615 2024-03-08 Closed
Classification Original Proceedings - Circuit Civil - Certiorari
Court 5th District Court of Appeal
Originating Court Circuit Court for the Fourth Judicial Circuit, Duval County
2023-CA-010394

Parties
Name THE SURGERY CENTER OF JACKSONVILLE, LLC
Role Petitioner
Status Active
Representations Jessica L. Gross
Name CenterOne Surgery Center
Role Petitioner
Status Active
Name JACKSONVILLE SPINE CENTER, P.A.
Role Respondent
Status Active
Name Claudio E. Vincenty
Role Respondent
Status Active
Name Patricia Grenier
Role Respondent
Status Active
Representations Davis C. Love, Wesley Thomas Straw
Name JAX Spine and Pain Centers
Role Respondent
Status Active
Name Hon. Michael S. Sharrit
Role Judge/Judicial Officer
Status Active

Docket Entries
Docket Date 2024-05-09
Type Mandate
Subtype Disp. w/o Mandate
Description Disp. w/o Mandate
Docket Date 2024-04-08
Type Disposition
Subtype Dismissed
Description Dismissed - Order by Clerk
Docket Date 2024-04-08
Type Order
Subtype Order on Motion/Notice Voluntary Dismissal (non-dispositive)
Description Order Granting Voluntary Dismissal ~ SECOND AMENDED NOVD ACCEPTED; CAUSE DISMISSED; MOT EOT DENIED AS MOOT
Docket Date 2024-04-04
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal ~ SECOND AMENDED
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-04-04
Type Order
Subtype Order Striking Filing
Description ORD-Stricken (certificate of service) ~ SECOND AMENDED W/I 5 DAYS
Docket Date 2024-03-29
Type Motions Extensions
Subtype Motion for Extension of Time to File Response
Description Motion for Extension of Time to File Response ~ DENIED AS MOOT PER 4/8 ORDER
On Behalf Of Patricia Grenier
Docket Date 2024-03-29
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal ~ AMENDED; STRICKEN PER 4/4/24 ORDER
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-03-28
Type Order
Subtype Order Striking Filing
Description ORD-Stricken (certificate of service) ~ PT W/IN 5 DYS FILE AMENDED NOVD; NOVD STRICKEN
Docket Date 2024-03-27
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal ~ STRICKEN PER 3/28 ORDER
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-03-11
Type Order
Subtype Order to File Response
Description ORD-Respondent to Respond ~ RESPONSE W/IN 20 DYS; REPLY W/IN 10 DYS
Docket Date 2024-03-08
Type Record
Subtype Appendix to Petition
Description Appendix to Petition
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-03-08
Type Misc. Events
Subtype Fee Status
Description FP:Fee Paid Through Portal
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-03-08
Type Petition
Subtype Petition
Description Petition Filed ~ FILED HERE 3/8/2024
On Behalf Of The Surgery Center of Jacksonville, LLC
Docket Date 2024-03-08
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgement Letter 1

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-20

Related by officers

Boron, Steven

VIPER-CBO, LLC CENTURION MEDICAL GROUP, LLC VIPER 207, LLC VIPER JTBK ASC, LLC VIPER JTBK 300, LLC VIPER RIVERSIDE, LLC VIPER BEACHES, LLC

Gage, Emmanuel G, MD

VIPER-CBO, LLC VIPER MAX, LLC

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Florida Department of State

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