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ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA - Florida Company Profile

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Company Details

Entity Name: ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
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
Address: 13837 Circa Crossing Drive, Suite 140, Lithia, FL, 33547, US
Mail Address: 13837 CIRCA CROSSING DR, LITHIA, FL, 33547, US
ZIP code: 33547
City: Lithia
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1316646516
Certification Date:
2024-10-22

Authorized Person:

Name:
SCOTT GOLDSMITH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
8136586222

Form 5500 Series

Employer Identification Number (EIN):
591830246
Plan Year:
2024
Number Of Participants:
130
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
114
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
90
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
78
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
59
Sponsors Telephone Number:

Events

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. -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
1321300.00
Total Face Value Of Loan:
1321300.00

Paycheck Protection Program

Jobs Reported:
116
Initial Approval Amount:
$1,321,300
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,321,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,328,069.4
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $1,321,300

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Date of last update: 02 Aug 2025

Sources: Florida Department of State