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  5. SPINE INSTITUTE, P.A.

SPINE INSTITUTE, P.A. - Florida Company Profile

Company Details

Entity Name: SPINE INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SPINE INSTITUTE, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 20 Apr 2007 (18 years ago)
Date of dissolution: 27 Sep 2024 (7 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (7 months ago)
Document Number: P07000048524
FEI/EIN Number 261145504

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1411 North Flagler Drive, Suite 3900, West Palm Beach, FL, 33414, US
Mail Address: P.O. BOX 1101, PALM BEACH, FL, 33480
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174848329 2010-03-31 2021-05-07 PO BOX 540064, GREENACRES, FL, 334540064, US 4897 S JOG RD STE A, GREENACRES, FL, 334675000, US

Contacts
Phone +1 561-965-0436
Fax 5619650452

Authorized person
Name DR. STEVEN C CHANG
Role PRESIDENT
Phone 5619650436

Taxonomy
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
License Number ME90015
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE INSTITUTE 401(K) PLAN 2023 261145504 2024-12-31 SPINE INSTITUTE, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address PO BOX 1101, PALM BEACH, FL, 33480
SPINE INSTITUTE 401(K) PLAN 2023 261145504 2024-09-16 SPINE INSTITUTE, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address PO BOX 1101, PALM BEACH, FL, 33480
SPINE INSTITUTE 401(K) PLAN 2022 261145504 2023-10-09 SPINE INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address PO BOX 1101, PALM BEACH, FL, 33480
SPINE INSTITUTE 401(K) PLAN 2021 261145504 2022-10-24 SPINE INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address PO BOX 1101, PALM BEACH, FL, 33480
SPINE INSTITUTE 401(K) PLAN 2020 261145504 2021-08-30 SPINE INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address 5511 SOUTH CONGRESS AVE, SUITE 101, ATLANTIS, FL, 33462
SPINE INSTITUTE 401(K) PLAN 2019 261145504 2020-04-30 SPINE INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address 5511 SOUTH CONGRESS AVE, SUITE 101, ATLANTIS, FL, 33462
SPINE INSTITUTE 401(K) PLAN 2018 261145504 2019-10-03 SPINE INSTITUTE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address 5511 SOUTH CONGRESS AVE, SUITE 101, ATLANTIS, FL, 33462
SPINE INSTITUTE 401(K) PLAN 2017 261145504 2018-09-24 SPINE INSTITUTE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address 5511 SOUTH CONGRESS AVE, SUITE 101, ATLANTIS, FL, 33462
SPINE INSTITUTE 401(K) PLAN 2016 261145504 2017-10-04 SPINE INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5619650436
Plan sponsor’s address 5511 SOUTH CONGRESS AVE, SUITE 101, ATLANTIS, FL, 33462

Key Officers & Management

Name Role Address
CHANG STEVEN President P. O. BOX 1101, PALM BEACH, FL, 33480
Chang Steven Agent 1411 North Flagler Drive, West Palm Beach, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2021-04-03 1411 North Flagler Drive, Suite 3900, West Palm Beach, FL 33414 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-03 1411 North Flagler Drive, Suite 3900, West Palm Beach, FL 33414 -
REGISTERED AGENT NAME CHANGED 2013-03-28 Chang, Steven -
AMENDMENT AND NAME CHANGE 2010-01-21 SPINE INSTITUTE, P.A. -
CHANGE OF MAILING ADDRESS 2009-06-23 1411 North Flagler Drive, Suite 3900, West Palm Beach, FL 33414 -

Documents

Name Date
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-03
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-05-02
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-04-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6733587706 2020-05-01 0455 PPP 5511 S CONGRESS AVE, ATLANTIS, FL, 33462
Loan Status Date 2021-09-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54400
Loan Approval Amount (current) 54400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address ATLANTIS, PALM BEACH, FL, 33462-0901
Project Congressional District FL-22
Number of Employees 4
NAICS code 541720
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 55117.78
Forgiveness Paid Date 2021-08-26

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Chang Steven

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Companies related by address

No other companies in our directory share the same address as SPINE INSTITUTE, P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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