| Entity Name: | MUSCULOSKELETAL INSTITUTE, CHARTERED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jan 1989 (36 years ago) |
| Document Number: | K61563 |
| FEI/EIN Number | 592929608 |
| Address: | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637-0925, US |
| Mail Address: | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637-0925, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306674049 | 2024-07-24 | 2024-07-24 | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370925, US | 8839 BRYAN DAIRY RD STE 240B, LARGO, FL, 337771203, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-978-9700 |
Authorized person
| Name | ROY W SANDERS |
| Role | PRESIDENT |
| Phone | 8139789700 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| SANDERS ROY WM.D. | Co | 5315 Avion Park Drive, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| SANDERS ROY WM.D. | Chairman | 5315 Avion Park Drive, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Lee Matthew CDr. | President | 3334 Capital Medical Blvd, Tallahassee, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| Chari Ravi | Chief Executive Officer | 5315 Avion Park Drive, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Burroughs Timothy M.D. | Chief Financial Officer | 5315 Avion Park Drive, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Davis Charles | Chie | 5315 Avion Park Drive, Tampa, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000021523 | ORTHOPAEDIC SPECIALTIES OF TAMPA BAY | ACTIVE | 2024-02-08 | 2029-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| G24000021524 | BRANDON ORTHOPEDIC ASSOCIATES | ACTIVE | 2024-02-08 | 2029-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| G24000021526 | FLORIDA SPORTS ORTHOPAEDIC & SPINE MEDICINE | ACTIVE | 2024-02-08 | 2029-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| G24000021525 | ALL FLORIDA ORTHOPAEDIC ASSOCIATES | ACTIVE | 2024-02-08 | 2029-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| G24000021522 | ORTHOPAEDIC ASSOCIATES OF WEST FLORIDA | ACTIVE | 2024-02-08 | 2029-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| G11000080830 | THE HEEL AND FOOT PAIN CENTER OF TAMPA BAY | ACTIVE | 2011-08-15 | 2026-12-31 | No data | 4600 4TH ST. N., ST. PETERSBURG, FL, 33703 |
| G02080900322 | FLORIDA ORTHOPAEDIC INSTITUTE | ACTIVE | 2002-03-21 | 2027-12-31 | No data | 13020 N TELECOM PKWY, TEMPLE TERRACE, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 1993-05-03 | MUSCULOSKELETAL INSTITUTE, CHARTERED | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
