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SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC.

Company Details

Entity Name: SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Oct 2009 (15 years ago)
Document Number: P09000084286
FEI/EIN Number 27-1126437
Address: 324 Cross Street, PUNTA GORDA, FL 33950
Mail Address: 324 Cross Street, PUNTA GORDA, FL 33950
ZIP code: 33950
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134532054 2014-06-09 2014-06-09 324 CROSS ST, PUNTA GORDA, FL, 339504828, US 324 CROSS ST, PUNTA GORDA, FL, 339504828, US

Contacts

Phone +1 941-205-2180
Fax 9412052181

Authorized person

Name KEVIN VAN NOSTRAND
Role OWNER/OPERATOR
Phone 9412581965

Taxonomy

Taxonomy Code 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
License Number ME 102997
State FL
Is Primary Yes
Taxonomy Code 225100000X - Physical Therapist
License Number PT 18108
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2022 271126437 2024-02-15 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 339504828

Signature of

Role Plan administrator
Date 2024-02-15
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2021 271126437 2023-02-15 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 339504828

Signature of

Role Plan administrator
Date 2023-02-15
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2020 271126437 2021-10-12 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 33950

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2019 271126437 2020-06-15 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 33950

Signature of

Role Plan administrator
Date 2020-06-15
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2018 271126437 2019-10-15 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 33950

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature
SPINAL HEALTH AND REHAB 401(K) PLAN & TRUST 2017 271126437 2018-10-02 SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9412052180
Plan sponsor’s address 324 CROSS STREET, PUNTA GORDA, FL, 33950

Signature of

Role Plan administrator
Date 2018-10-02
Name of individual signing KEVIN M. VAN NOSTRAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VAN NOSTRAND, KEVIN M, Dr. Agent 324 Cross Street, PUNTA GORDA, FL 33950

President

Name Role Address
VAN NOSTRAND, KEVIN M, Dr. President 324 Cross Street, PUNTA GORDA, FL 33950

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000039583 ORTHO DME EXPIRED 2018-03-26 2023-12-31 No data 324 CROSS ST, PUNTA GORDA, FL, 33950
G14000054356 SPINAL HEALTH INTEGRATIVE MEDICINE EXPIRED 2014-06-05 2019-12-31 No data 324 CROSS STREET, PUNTA GORDA, FL, 33950
G13000116313 INTEGRATIVE MEDICINE EXPIRED 2013-11-27 2018-12-31 No data 2905 TAMIAMI TRAIL, PUNTA GORDA, FL, 33950
G13000116340 SPINAL HEALTH AND REHAB INTEGRATIVE MEDICINE EXPIRED 2013-11-27 2018-12-31 No data 2905 TAMIAMI TRAIL, PUNTA GORDA, FL, 33950

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-04-23 324 Cross Street, PUNTA GORDA, FL 33950 No data
CHANGE OF MAILING ADDRESS 2014-04-23 324 Cross Street, PUNTA GORDA, FL 33950 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-23 324 Cross Street, PUNTA GORDA, FL 33950 No data
REGISTERED AGENT NAME CHANGED 2013-04-08 VAN NOSTRAND, KEVIN M, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-06-07
ANNUAL REPORT 2015-04-24

Date of last update: 25 Jan 2025

Sources: Florida Department of State