| Entity Name: | ORTHOPAEDIC FELLOWSHIP GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jun 2002 (23 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L02000014731 |
| FEI/EIN Number | 421538836 |
| Address: | 1401 NW 136 Avenue, Suite 400, Sunrise, FL, 33323, US |
| Mail Address: | 1401 NW 136 Avenue, Suite 400, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033185939 | 2006-02-28 | 2013-09-20 | 2901 S.W. 149TH AVE., SUITE 400, MIRAMAR, FL, 330274153, US | 3399 NW 72ND AVE, SUITE 101, MIAMI, FL, 331221349, US | |||||||||||||||||||
|
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| Phone | +1 954-874-4600 |
| Fax | 7865945200 |
| Phone | +1 954-874-4615 |
| Fax | 9548743376 |
Authorized person
| Name | MARTHA C ORTIZ |
| Role | SENIOR VP OF REVENUE CYCLE |
| Phone | 9548744600 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATZA ROCHELLE S | Agent | 1401 NW 136 Avenue, Suite 400, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN PAUL MMD | Manager | 1401 NW 136 Avenue, Suite 400, Sunrise, FL, 33323 |
| GLASS GERALD GMD | Manager | 1401 NW 136 Avenue, Suite 400, Sunrise, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-25 | 1401 NW 136 Avenue, Suite 400, Sunrise, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-25 | 1401 NW 136 Avenue, Suite 400, Sunrise, FL 33323 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-25 | 1401 NW 136 Avenue, Suite 400, Sunrise, FL 33323 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-29 | MATZA, ROCHELLE S | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000782196 | LAPSED | 1000000400731 | BROWARD | 2012-10-17 | 2022-10-25 | $ 514.96 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
