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OPTIMUM SPINE CHIROPRACTIC CENTER, INC.

Company Details

Entity Name: OPTIMUM SPINE CHIROPRACTIC CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Mar 2018 (7 years ago)
Document Number: P18000022285
FEI/EIN Number 82-4724746
Address: 7500 NW 104 Avenue, Suite B200, Doral, FL 33178
Mail Address: 7500 NW 104 Avenue, Suite B200, Doral, FL 33178
ZIP code: 33178
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710523683 2019-11-26 2020-09-16 7500 NW 104TH AVE STE B200, DORAL, FL, 331783373, US 7500 NW 104TH AVE STE B200, DORAL, FL, 331783373, US

Contacts

Phone +1 305-204-2243

Authorized person

Name ALEX OSORIO
Role DOCTOR
Phone 3058749851

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPTIMUM SPINE CHIROPRACTIC CENTER 401(K) PROFIT SHARING PLAN 2021 824724746 2022-09-02 OPTIMUM SPINE CHIROPRACTIC CENTER 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 3052042243
Plan sponsor’s address 7500 NW 104TH AVE., SUITE B200, DORAL, FL, 33178

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing ALEX OSORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-02
Name of individual signing ALEX OSORIO
Valid signature Filed with authorized/valid electronic signature
OPTIMUM SPINE CHIROPRACTIC CENTER 401(K) PROFIT SHARING PLAN 2021 824724746 2022-09-02 OPTIMUM SPINE CHIROPRACTIC CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621310
Sponsor’s telephone number 3052042243
Plan sponsor’s address 7500 NW 104TH AVE., SUITE B200, DORAL, FL, 33178

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing ALEX OSORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-02
Name of individual signing ALEX OSORIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OSORIO, ALEX Agent 7500 NW 104 Avenue, Suite B200, Doral, FL 33178

President

Name Role Address
OSORIO, ALEX President 7500 NW 104 Avenue, Suite B200 Doral, FL 33178

Secretary

Name Role Address
OSORIO, ALEX Secretary 7500 NW 104 Avenue, Suite B200 Doral, FL 33178

Treasurer

Name Role Address
OSORIO, ALEX Treasurer 7500 NW 104 Avenue, Suite B200 Doral, FL 33178

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-10 7500 NW 104 Avenue, Suite B200, Doral, FL 33178 No data
CHANGE OF MAILING ADDRESS 2020-04-10 7500 NW 104 Avenue, Suite B200, Doral, FL 33178 No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-10 7500 NW 104 Avenue, Suite B200, Doral, FL 33178 No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-03-28
Domestic Profit 2018-03-08

Date of last update: 18 Jan 2025

Sources: Florida Department of State