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SPINE & SPORT INSTITUTE, INC. - Florida Company Profile

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Company Details

Entity Name: SPINE & SPORT INSTITUTE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Nov 1996 (29 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Sep 2022 (3 years ago)
Document Number: P96000090411
FEI/EIN Number 650704415
Address: 515 N Flagler Drive, West Palm Beach, FL, 33401, US
Mail Address: 515 N Flagler Drive, West Palm Beach, FL, 33401, US
ZIP code: 33401
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RAPP THOMAS Chairman 515 N Flagler Drive, West Palm Beach, FL, 33401
Tucker Jeffrey Othe 515 N Flagler Drive, West Palm Beach, FL, 33401
West Dylan Othe 515 N Flagler Drive, West Palm Beach, FL, 33401
West Dylan Agent 515 N Flagler Drive, West Palm Beach, FL, 33401
RAPP THOMAS CE 515 N Flagler Drive, West Palm Beach, FL, 33401

National Provider Identifier

NPI Number:
1962530659

Authorized Person:

Name:
MS. MARJORIE R RODD
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
7725678420

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000117600 PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE ACTIVE 2023-09-22 2028-12-31 - PO BOX 8600, PORT ST. LUCIE, FL, 34985

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-13 West, Dylan -
REGISTERED AGENT ADDRESS CHANGED 2023-02-28 515 N. Flagler Drive, Ste. 402, West Palm Beach, FL 33401 -
CHANGE OF PRINCIPAL ADDRESS 2022-09-02 515 n flagler dr., suite 402, west palm beach, FL 33401 -
AMENDMENT 2022-09-02 - -
CHANGE OF MAILING ADDRESS 2022-09-02 515 n flagler dr., suite 402, west palm beach, FL 33401 -
REINSTATEMENT 2010-09-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
AMENDMENT 2001-04-17 - -

Documents

Name Date
ANNUAL REPORT 2024-02-13
AMENDED ANNUAL REPORT 2023-03-17
ANNUAL REPORT 2023-02-28
Amendment 2022-09-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-28

USAspending Awards / Financial Assistance

Date:
2021-03-27
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:
40056.00
Total Face Value Of Loan:
40056.00
Date:
2020-05-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
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:
44000.00
Total Face Value Of Loan:
44000.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$44,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,528
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $44,000
Jobs Reported:
4
Initial Approval Amount:
$40,056
Date Approved:
2021-03-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,056
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$40,187.29
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $40,054

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Date of last update: 01 Aug 2025

Sources: Florida Department of State