| Entity Name: | SEA SPINE ORTHOPEDICS INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L10000007478 |
| FEI/EIN Number | 271726650 |
| Address: | 3350 NW 53rd Street, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 3350 NW 53rd Street, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578887675 | 2010-03-17 | 2022-06-03 | 3350 NW 53RD ST STE 102, FT LAUDERDALE, FL, 333096354, US | 6001 VINELAND RD STE 116, ORLANDO, FL, 328197829, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 866-816-7846 |
| Fax | 9544582928 |
Authorized person
| Name | ANDREW JOSHUA APPEL |
| Role | PHYSICIAN OWNER |
| Phone | 8888167846 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | DOL |
| Number | 615061100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| APPEL ANDREW J | Agent | 3350 NW 53rd Street, Fort Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| APPEL ANDREW J | Manager | 3350 NW 53rd Street, Fort Lauderdale, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-24 | 3350 NW 53rd Street, Suite 102, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-24 | 3350 NW 53rd Street, Suite 102, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-24 | 3350 NW 53rd Street, Suite 102, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-02 | APPEL, ANDREW JOSHUA | No data |
| LC STMNT OF RA/RO CHG | 2016-10-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-03 |
| CORLCRACHG | 2016-10-07 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
