| Entity Name: | HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Oct 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2017 (7 years ago) |
| Document Number: | L07000105632 |
| FEI/EIN Number | 364617966 |
| Address: | 667 Bevile Rd, South Dayona, FL, 32119, US |
| Mail Address: | 667 Bevile Rd, South Dayona, FL, 32119, US |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346752755 | 2017-10-26 | 2017-10-26 | PO BOX 1784, BENTONVILLE, AR, 72712, US | 1241 RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114, US | |||||||||||||||||||
|
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| Phone | +1 479-636-9702 |
| Fax | 8774272307 |
Authorized person
| Name | MRS. AMANDA GONZALEZZ |
| Role | NCPDP COORDINATOR |
| Phone | 4796369702 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | OS9696 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTANEDA JUAN CDr. | Agent | 18 Creek Bluff Way, Ormond Beach, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| CASTANEDA JUAN C | Managing Member | 18 Creek Bluff Way, Ormond Beach, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| pache tina j | Vice President | 109 Dahoon Holly Dr, Daytona Beach, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-15 | 18 Creek Bluff Way, Ormond Beach, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-06 | 667 Bevile Rd, Suite B, South Dayona, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-06 | 667 Bevile Rd, Suite B, South Dayona, FL 32119 | No data |
| REINSTATEMENT | 2017-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2015-02-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-24 | CASTANEDA, JUAN C, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2013-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000591718 | TERMINATED | 1000000606175 | VOLUSIA | 2014-04-11 | 2024-05-09 | $ 1,454.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| J14000813179 | LAPSED | 1000000546465 | VOLUSIA | 2013-10-21 | 2024-08-01 | $ 405.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-08 |
| REINSTATEMENT | 2017-09-27 |
| ANNUAL REPORT | 2016-04-27 |
| REINSTATEMENT | 2015-02-24 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
