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BREVARD ORTHOPAEDIC, SPINE & PAIN CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: BREVARD ORTHOPAEDIC, SPINE & PAIN CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BREVARD ORTHOPAEDIC, SPINE & PAIN CLINIC, INC. 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: 29 Sep 1995 (30 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: P95000075234
FEI/EIN Number 593345600

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2222 S HARBOR CITY BLVD., SUITE 610, MELBOURNE, FL, 32901, US
Mail Address: 2222 S HARBOR CITY BLVD., SUITE 610, MELBOURNE, FL, 32901, US
ZIP code: 32901
City: Melbourne
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HYNES RICHARD AMD Director 2222 S HARBOR CITY BLVD SUITE 610, MELBOURNE, FL, 32901
DATTA DEVIN KMD Director 2222 S HARBOR CITY BLVD SUITE 610, MELBOURNE, FL, 32901
HYNES RICHARD AMD Agent 2222 S HARBOR CITY BLVD, MELBOURNE, FL, 32901

National Provider Identifier

NPI Number:
1003100504
Certification Date:
2021-07-15

Authorized Person:

Name:
KATRINA LOPEZ
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
3217230604

Form 5500 Series

Employer Identification Number (EIN):
593345600
Plan Year:
2022
Number Of Participants:
119
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
87
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
77
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
79
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
78
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000101335 THE BACK CENTER EXPIRED 2019-09-16 2024-12-31 - 2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL, 32901
G14000124381 THE B.A.C.K. CENTER ACTIVE 2014-12-11 2025-12-31 - 2222 S HARBOR CITY BLVD, SUITE 530, MELBOURNE, FL, 32901
G09000164507 DR. JAVA GOURMET CAFE EXPIRED 2009-10-13 2024-12-31 - 2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT NAME CHANGED 2017-04-06 HYNES, RICHARD A, MD -
CHANGE OF MAILING ADDRESS 2012-01-26 2222 S HARBOR CITY BLVD., SUITE 610, MELBOURNE, FL 32901 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-16 2222 S HARBOR CITY BLVD., SUITE 610, MELBOURNE, FL 32901 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-16 2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL 32901 -
NAME CHANGE AMENDMENT 2003-04-23 BREVARD ORTHOPAEDIC, SPINE & PAIN CLINIC, INC. -
CORPORATE MERGER 1996-03-19 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 300000009593
NAME CHANGE AMENDMENT 1995-10-26 BREVARD ORTHOPAEDIC CLINIC, INC. -
CORPORATE MERGER 1995-10-05 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 900000007429

Documents

Name Date
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-03-21
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-06
Off/Dir Resignation 2016-12-19
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-03-18
ANNUAL REPORT 2014-02-19

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1094700.00
Total Face Value Of Loan:
1094700.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
837602.00
Total Face Value Of Loan:
0.00

Trademarks

Serial Number:
77221634
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
2007-07-03
Mark Drawing Type:
Illustration: Drawing or design without any word(s)/letter(s)/number(s)

Goods And Services

For:
Medical services; orthopaedic services and surgical services
International Classes:
044 - Primary Class
Class Status:
Sec. 8 – Entire Registration
Serial Number:
76548015
Mark:
B.A.C.K. BACK AUTHORITY CONTEMPORARY KNOWLEDGE
Status:
REGISTERED AND RENEWED
Mark Type:
SERVICE MARK
Application Filing Date:
2003-09-29
Mark Drawing Type:
Typeset: Word(s)/letter(s)/number(s)
Mark Literal Elements:
B.A.C.K. BACK AUTHORITY CONTEMPORARY KNOWLEDGE

Goods And Services

For:
Medical services; orthopaedic services and surgical services
First Use:
2005-04-12
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
76548014
Mark:
BACK
Status:
ABANDONED - NO STATEMENT OF USE FILED
Mark Type:
SERVICE MARK
Application Filing Date:
2003-09-29
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/ letter(s)/number(s)
Mark Literal Elements:
BACK

Goods And Services

For:
Medical services; orthopaedic services and surgical services
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
77
Initial Approval Amount:
$1,094,700
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,094,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,104,278.62
Servicing Lender:
Seacoast National Bank
Use of Proceeds:
Payroll: $1,094,700

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Date of last update: 02 Jul 2025

Sources: Florida Department of State