| Entity Name: | OP MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jul 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Jun 2012 (13 years ago) |
| Document Number: | L09000068624 |
| FEI/EIN Number | 270563223 |
| Address: | 1515 HERBERT STREET, SUITE 209, PORT ORANGE, FL, 32129 |
| Mail Address: | 1515 HERBERT STREET, SUITE 209, PORT ORANGE, FL, 32129 |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144452582 | 2009-08-19 | 2009-08-19 | 1515 HERBERT ST, STE 209, PORT ORANGE, FL, 321296104, US | 1515 HERBERT ST, STE 209, PORT ORANGE, FL, 321296104, US | |||||||||||||||||
|
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| Phone | +1 386-366-9119 |
Authorized person
| Name | DR. ANDREW JOSEPH OTTAVIANI |
| Role | CLINIC DIRECTOR |
| Phone | 3863669119 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME0067232 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PICCHIELLO ANTHONY C | Agent | 1515 HERBERT STREET, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| PICCHIELLO ANTHONY C | Managing Member | 1515 HERBERT STREET, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2012-06-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-06-20 | PICCHIELLO, ANTHONY C | No data |
| REINSTATEMENT | 2010-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-19 |
| ANNUAL REPORT | 2016-05-23 |
| ANNUAL REPORT | 2015-05-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
