| Entity Name: | INNOVATIVE ORTHOTICS & PROSTHETICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INNOVATIVE ORTHOTICS & PROSTHETICS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Jan 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L07000005592 |
| FEI/EIN Number |
208337459
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 537 US HIGHWAY ONE, SUITE 6, NORTH PALM BEACH, FL, 33408 |
| Mail Address: | 537 US HIGHWAY ONE, SUITE 6, NORTH PALM BEACH, FL, 33408 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306043625 | 2007-06-29 | 2010-08-02 | 537 US HIGHWAY 1, SUITE 6, NORTH PALM BEACH, FL, 334084903, US | 537 US HIGHWAY 1, SUITE 6, NORTH PALM BEACH, FL, 334084903, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-296-2000 |
| Fax | 5612969912 |
Authorized person
| Name | MR. ANDREW D DOMB |
| Role | OWNER |
| Phone | 5612962000 |
Taxonomy
| Taxonomy Code | 222Z00000X - Orthotist |
| License Number | POR188 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 224P00000X - Prosthetist |
| License Number | POR188 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032644500 |
| State | FL |
| Issuer | BCBSFL |
| Number | M2829 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOMB ANDREW D | Manager | 1614 16TH LANE, PALM BEACH GARDENS, FL, 33418 |
| DOMB ANDREW D | Agent | 1614 16TH LANE, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000654435 | ACTIVE | 1000000414956 | PALM BEACH | 2013-01-03 | 2033-04-04 | $ 378.11 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-05-14 |
| ANNUAL REPORT | 2008-07-07 |
| Florida Limited Liability | 2007-01-16 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | V548Q13672 | 2010-11-16 | 2010-12-16 | 2010-12-16 | |||||||||||||||||||||||
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| Title | MEDICAL SUPPLIES |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | INNOVATIVE ORTHOTICS & PROSTHETICS, LLC |
| UEI | TMG4PVL3FLL6 |
| Legacy DUNS | 867807161 |
| Recipient Address | 537 US HWY 1 STE 6, NORTH PALM BEACH, 334084903, UNITED STATES |
| Unique Award Key | CONT_IDV_VA248BP008831_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 0.00 |
Description
| Title | PROSTHETIC FABRICATION AND REPAIR |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | INNOVATIVE ORTHOTICS & PROSTHETICS, LLC |
| UEI | TMG4PVL3FLL6 |
| Recipient Address | 537 US HWY 1 STE 6, NORTH PALM BEACH, PALM BEACH, FLORIDA, 334084903, UNITED STATES |
Date of last update: 01 May 2025
Sources: Florida Department of State
