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SARASOTA ORTHOPEDIC ASSOCIATES, LLC

Company Details

Entity Name: SARASOTA ORTHOPEDIC ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jul 2000 (25 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 15 May 2023 (2 years ago)
Document Number: L00000008758
FEI/EIN Number 651025457
Address: 5741 Bee Ridge, Suite 400, SARASOTA, FL, 34233, US
Mail Address: 5741 Bee Ridge Road, SUITE 400, SARASOTA, FL, 34233, US
ZIP code: 34233
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285092254 2016-02-05 2016-02-05 2750 BAHIA VISTA ST, SUITE 100, SARASOTA, FL, 342392600, US 4319 20TH ST W, SUITE 101, BRADENTON, FL, 342055006, US

Contacts

Phone +1 941-951-2663

Authorized person

Name MS. ROBIN M JUSTICE
Role DIRECTOR OF BILLING AND COLLECTIONS
Phone 9419512663

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes
Taxonomy Code 207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary No
Taxonomy Code 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Is Primary No
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary No
Taxonomy Code 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician
Is Primary No
Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary No
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARASOTA ORTHOPEDIC ASSOCIATES, LLC 401(K) PLAN 2018 651025457 2019-09-24 SARASOTA ORTHOPEDIC ASSOCIATES, LLC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9419512663
Plan sponsor’s address 2750 BAHIA VISTA STREET, SUITE 100, SARASOTA, FL, 34292

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing MARY MATHER
Valid signature Filed with authorized/valid electronic signature
SARASOTA ORTHOPEDIC ASSOCIATES, LLC 401(K) PLAN 2017 651025457 2018-08-29 SARASOTA ORTHOPEDIC ASSOCIATES, LLC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9419512663
Plan sponsor’s address 2750 BAHIA VISTA STREET, SUITE 100, SARASOTA, FL, 34292

Signature of

Role Plan administrator
Date 2018-08-29
Name of individual signing MARY MATHER
Valid signature Filed with authorized/valid electronic signature
SARASOTA ORTHOPEDIC ASSOCIATES, LLC 401(K) PLAN 2017 651025457 2018-08-06 SARASOTA ORTHOPEDIC ASSOCIATES, LLC 91
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9419512663
Plan sponsor’s address 2750 BAHIA VISTA STREET, SUITE 100, SARASOTA, FL, 34292

Signature of

Role Plan administrator
Date 2018-08-06
Name of individual signing MARY MATHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BLALOCK WALTERS, P.A. Agent

Manager

Name Role Address
SILVERSTEIN JEFFREY M Manager 5741 Bee Ridge Road, SARASOTA, FL, 34233
Barre Julie GMD Manager 5741 Bee Ridge Road, Sarasota, FL, 34233
Raye Justin MDO Manager 5741 Bee Ridge Road, Sarasota, FL, 34233
Page Steven M Manager 5741 Bee Ridge Road, Sarasota, FL, 34233

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000078552 360 ORTHOPEDICS ACTIVE 2019-07-22 2029-12-31 No data 5741 BEE RIDGE, SUITE 400, SARASOTA, FL, 34233

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-09 5741 Bee Ridge, Suite 400, SARASOTA, FL 34233 No data
CHANGE OF MAILING ADDRESS 2023-08-02 5741 Bee Ridge, Suite 400, SARASOTA, FL 34233 No data
LC AMENDMENT 2023-05-15 No data No data
LC AMENDMENT 2018-08-02 No data No data
REGISTERED AGENT NAME CHANGED 2018-08-02 BLALOCK WALTERS, P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2018-08-02 2 NORTH TAMIAMI TRAIL, SUITE 400, SARASOTA, FL 34236 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-08-02
LC Amendment 2023-05-15
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-04-09
LC Amendment 2018-08-02
ANNUAL REPORT 2018-03-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State