| Entity Name: | BRACES DIRECT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2004 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Aug 2018 (7 years ago) |
| Document Number: | L04000090981 |
| FEI/EIN Number | 202019464 |
| Address: | 6424 VIA PRIMO ST, LAKE WORTH, FL, 33467, US |
| Mail Address: | 6424 VIA PRIMO ST, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871068023 | 2018-10-03 | 2018-10-03 | 7209 PROMENADE DR APT 601, BOCA RATON, FL, 334332809, US | 7209 PROMENADE DR APT 601, BOCA RATON, FL, 334332809, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-271-9497 |
Authorized person
| Name | DR. KENNETH SHAPIRO |
| Role | OWNER |
| Phone | 5612719497 |
Taxonomy
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1639654148 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Shapiro Kenneth Dr. | Agent | 7209 Promenade Dr., Boca Raton, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO KENNETH | Managing Member | 7209 Promenade Dr., Boca Raton, FL, 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000136422 | MEDTHERAPIES | ACTIVE | 2021-10-11 | 2026-12-31 | No data | 7209 PROMENADE DR., UNIT 601, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-04 | 6424 VIA PRIMO ST, LAKE WORTH, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-04 | 6424 VIA PRIMO ST, LAKE WORTH, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-08-01 | 7209 Promenade Dr., 601, Boca Raton, FL 33433 | No data |
| REINSTATEMENT | 2018-08-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-23 | Shapiro, Kenneth, Dr. | No data |
| REINSTATEMENT | 2014-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-08-01 |
| ANNUAL REPORT | 2015-04-23 |
| REINSTATEMENT | 2014-10-07 |
| ANNUAL REPORT | 2013-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
