| Entity Name: | ORTHOPAEDIC SPINE & FRACTURE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 May 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L08000044130 |
| Address: | 12983 SOUTHERN BLVD. #102, LOXAHATCHEE, FL, 33470 |
| Mail Address: | 12983 SOUTHERN BLVD. #102, LOXAHATCHEE, FL, 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861669194 | 2008-05-15 | 2008-05-15 | 12983 SOUTHERN BLVD STE 102, LOXAHATCHEE, FL, 334709254, US | 12983 SOUTHERN BLVD STE 102, LOXAHATCHEE, FL, 334709254, US | |||||||||||||||||||
|
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| Phone | +1 561-296-2345 |
| Fax | 5612962346 |
Authorized person
| Name | DR. WILBERT PINO |
| Role | PHYSICIAN |
| Phone | 5612962345 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME81924 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERNSTEIN MARK | Agent | 5001 S. UNIVERSITY DR. #K, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| PINO WILBERT D | Managing Member | 12983 SOUTHERN BLVD STE 102, LOXAHATCHEE, FL, 33470 |
| JEFFERS KENNETH D | Managing Member | 5255 SW 192TH TERRACE, SOUTHWEST RANCHES, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| LC AMENDMENT | 2008-06-04 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2008-06-04 |
| Florida Limited Liability | 2008-05-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
