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  5. JOSEPH SPINE, PA

JOSEPH SPINE, PA - Florida Company Profile

Company Details

Entity Name: JOSEPH SPINE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOSEPH SPINE, PA 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 11 May 2016 (9 years ago)
Document Number: P16000042573
FEI/EIN Number 812658278

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5021 W. SAN MIGUEL STREET, TAMPA, FL, 33629, US
Mail Address: 1840 Mease Dr, Safety Harbor, FL, 34695, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194173260 2016-05-31 2017-01-13 2727 W MLK BLVD, SUITE 590, TAMPA, FL, 336076383, US 2727 W MLK BLVD, STE 590, TAMPA, FL, 336076383, US

Contacts
Phone +1 813-534-6269
Fax 8138700008

Authorized person
Name DR. SAMUEL A JOSEPH JR.
Role OWNER/PRESIDENT
Phone 7272025093

Taxonomy
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
License Number ME101718
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSEPH SPINE PA 401(K) PROFIT SHARING PLAN TRUST 2023 812658278 2024-09-04 JOSEPH SPINE PA 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing SAMUEL JOSEPH JR
Valid signature Filed with authorized/valid electronic signature
JOSEPH SPINE PA 401(K) PROFIT SHARING PLAN TRUST 2022 812658278 2023-10-10 JOSEPH SPINE PA 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing SAMUEL JOSEPH JR
Valid signature Filed with authorized/valid electronic signature
JOSEPH SPINE PA 401 K PROFIT SHARING PLAN TRUST 2021 812658278 2022-10-10 JOSEPH SPINE PA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing SAMUEL JOSEPH JR
Valid signature Filed with authorized/valid electronic signature
JOSEPH SPINE PA 401 K PROFIT SHARING PLAN TRUST 2020 812658278 2021-07-22 JOSEPH SPINE PA 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607
JOSEPH SPINE PA 401 K PROFIT SHARING PLAN TRUST 2019 812658278 2021-02-24 JOSEPH SPINE PA 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607
JOSEPH SPINE PA 401 K PROFIT SHARING PLAN TRUST 2018 812658278 2019-06-12 JOSEPH SPINE PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 WEST DR. MARTIN LUTHER KING JR, SUITE 590, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing SAMUEL JOSEPH JR
Valid signature Filed with authorized/valid electronic signature
JOSEPH SPINE PA 401 K PROFIT SHARING PLAN TRUST 2017 812658278 2018-10-18 JOSEPH SPINE PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 7274327153
Plan sponsor’s address 2727 W DR MARTIN LUTHER KING J, SUITE 590, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2018-10-18
Name of individual signing SAMUEL JOSEPH JR
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JOSEPH JR SAMUEL AM.D. Director 5021 W. San Miguel Street, TAMPA, FL, 33629
JOSEPH JR SAMUEL AM.D. President 5021 W. San Miguel Street, TAMPA, FL, 33629
JOSEPH JR SAMUEL AM.D. Secretary 5021 W. San Miguel Street, TAMPA, FL, 33629
JOSEPH JR SAMUEL AM.D. Treasurer 5021 W. San Miguel Street, TAMPA, FL, 33629
Joseph Spine Institute Agent 1840 Mease Dr, Safety Harbor, FL, 34695

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-31 5021 W. SAN MIGUEL STREET, TAMPA, FL 33629 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-31 1840 Mease Dr, Suite 309, Safety Harbor, FL 34695 -
REGISTERED AGENT NAME CHANGED 2023-01-17 Joseph Spine Institute -
CHANGE OF PRINCIPAL ADDRESS 2017-04-05 5021 W. SAN MIGUEL STREET, TAMPA, FL 33629 -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-13
Reg. Agent Change 2020-11-23
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-01-27

Companies related by officers

No other companies in our directory share the same officers as JOSEPH SPINE, PA

Companies related by address

5021 W. SAN MIGUEL STREET, TAMPA, FL, 33629, US

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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