| Entity Name: | THE CENTER FOR BACK PAIN MANAGEMENT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Feb 2006 (19 years ago) |
| Document Number: | P06000028942 |
| FEI/EIN Number | 204398382 |
| Address: | 220 CONGRESS PARK DR. #125, DELRAY BEACH, FL, 33445 |
| Mail Address: | 220 CONGRESS PARK DR. #125, DELRAY BEACH, FL, 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114003845 | 2006-10-27 | 2020-08-22 | 8188 JOG RD, SUITE 102, BOYNTON BEACH, FL, 334372952, US | 8188 JOG RD, SUITE 102, BOYNTON BEACH, FL, 334372952, US | |||||||||||||||
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| Phone | +1 561-737-1947 |
| Fax | 5617379074 |
Authorized person
| Name | FERNANDO RENNELLA |
| Role | OWNER |
| Phone | 5617371947 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINELLI VINCENT | Agent | 220 Congress Park Drive, Delray Beach, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| MARTINELLI VINCENT | President | 220 Congress Park Drive, Delray Beach, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| MARTINELLI VINCENT | Secretary | 220 Congress Park Drive, Delray Beach, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| MARTINELLI VINCENT | Treasurer | 220 Congress Park Drive, Delray Beach, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| RENNELLA FERNANDO | Vice President | 220 congress park drive, delray beach, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-25 | 220 Congress Park Drive, 125, Delray Beach, FL 33445 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-26 | 220 CONGRESS PARK DR. #125, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-26 | 220 CONGRESS PARK DR. #125, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-05-10 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6054848706 | 2021-04-03 | 0455 | PPP | 220 Congress Park Dr Ste 125, Delray Beach, FL, 33445-4664 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
