| Entity Name: | VITAL ORTHOPEDIC & SPINE INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Feb 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Dec 2023 (a year ago) |
| Document Number: | P15000015337 |
| FEI/EIN Number | 47-3770945 |
| Address: | 1600 S Federal Hwy, Suite 1000A, Pompano Beach, FL, 33062, US |
| Mail Address: | 1600 S Federal Hwy, Suite 1000A, Pompano Beach, FL, 33062, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104285725 | 2016-02-11 | 2016-02-19 | 1730 S FEDERAL HWY # 199, DELRAY BEACH, FL, 334833309, US | 4848 COCONUT CREEK PKWY # 200, COCONUT CREEK, FL, 330633904, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 877-848-2507 |
Authorized person
| Name | DR. ROBERE J MISSIRIAN |
| Role | OWNER |
| Phone | 8778482507 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME114632 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MISSIRIAN ROBERE DR. | Agent | 1600 S Federal Hwy, Pompano Beach, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| MISSIRIAN ROBERE DR. | President | 1600 S Federal Hwy, Pompano Beach, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| MISSIRIAN ROBERE DR. | Director | 1600 S Federal Hwy, Pompano Beach, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-12-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 1600 S Federal Hwy, Suite 1000A, 10th Floor, Pompano Beach, FL 33062 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-12 | 1600 S Federal Hwy, Suite 1000A, 10th Floor, Pompano Beach, FL 33062 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-17 | 1600 S Federal Hwy, Suite 1000A, 10th Floor, Pompano Beach, FL 33062 | No data |
| REINSTATEMENT | 2019-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2016-11-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-29 | MISSIRIAN, ROBERE, DR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| REINSTATEMENT | 2023-12-21 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-07-22 |
| REINSTATEMENT | 2019-10-17 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-01 |
| REINSTATEMENT | 2016-11-29 |
| Domestic Profit | 2015-02-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9340168109 | 2020-07-28 | 0455 | PPP | 1600 S Federal Hwy 10th floor, POMPANO BEACH, FL, 33062 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Feb 2025
Sources: Florida Department of State
