| Entity Name: | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY 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: | 13 Jun 1978 (47 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Jun 2016 (9 years ago) |
| Document Number: | 575577 |
| FEI/EIN Number |
591830246
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13837 Circa Crossing Drive, Suite 140, Lithia, FL, 33547, US |
| Mail Address: | 13837 CIRCA CROSSING DR, LITHIA, FL, 33547, US |
| ZIP code: | 33547 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316646516 | 2023-02-27 | 2024-10-22 | PO BOX 850001 DEPT 8272, ORLANDO, FL, 328858272, US | 2553 WINDGUARD CIR, WESLEY CHAPEL, FL, 335447351, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 816-684-2663 |
| Fax | 8136586222 |
| Phone | +1 813-684-2663 |
Authorized person
| Name | SCOTT GOLDSMITH |
| Role | PRESIDENT |
| Phone | 8136842663 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 122422100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Becker Edward | Manager | 4642 W. Lamb, Tampa, FL, 33629 |
| Butler Robert BDr. | Manager | 1911 S. Ardsley Street, Tampa, FL, 33629 |
| Jester Adam | Manager | 5306 E. Longboat Blvd., Tampa, FL, 33615 |
| Sando Mark Dr. | Manager | 4906 W. Juno Street, Tampa, FL, 33629 |
| Donaldson Christopher | Manager | 3510 W. Vasconia Street, Tampa, FL, 33629 |
| GOLDSMITH SCOTT EDr. | Agent | 13837 Circa Crossing Drive, LTHIA, FL, 33547 |
| GOLDSMITH, SCOTT | President | 4931 San Rafael, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-27 | 13837 Circa Crossing Drive, Suite 140, Lithia, FL 33547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 13837 Circa Crossing Drive, 140, LTHIA, FL 33547 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-21 | 13837 Circa Crossing Drive, Suite 140, Lithia, FL 33547 | - |
| REGISTERED AGENT NAME CHANGED | 2019-01-21 | GOLDSMITH, SCOTT ERIC, Dr. | - |
| NAME CHANGE AMENDMENT | 2016-06-17 | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA | - |
| CANCEL ADM DISS/REV | 2009-10-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| NAME CHANGE AMENDMENT | 1991-07-29 | ORTHOPEDIC MEDICAL GROUP OF TAMPA BAY, P.A. | - |
| NAME CHANGE AMENDMENT | 1984-02-29 | FIELD & GOLDSMITH, M.D.'S, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-10 |
| AMENDED ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-01-16 |
| AMENDED ANNUAL REPORT | 2017-12-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6193887101 | 2020-04-14 | 0455 | PPP | 615 Vonderburg Drive,, Brandon, FL, 33511-5972 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
