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  5. BONEMENDER, LLC.

BONEMENDER, LLC.

Company Details

Entity Name: BONEMENDER, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Mar 2010 (15 years ago)
Document Number: L10000022993
FEI/EIN Number 272005046
Address: 900 NW 13th St, BOCA RATON, FL, 33486, US
Mail Address: 900 NW 13th St, BOCA RATON, FL, 33486, US
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033277850 2006-12-05 2016-05-24 9033 GLADES RD STE D, BOCA RATON, FL, 334343939, US 9033 GLADES RD STE D, BOCA RATON, FL, 334343939, US

Contacts
Phone +1 954-491-6969
Fax 8884268955

Authorized person
Name MISS MARINA TABAKMAN
Role PRACTICE MANAGER/ADMINISTRATOR
Phone 9544916969

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer AVMED
Number 222259
State FL
Issuer MEDICAID
Number 279755100
State FL
Issuer BC BS OF FLA
Number 23404
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2023 272005046 2024-05-23 BONEMENDER, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 900 NW 13TH ST SUITE 103, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2024-05-23
Name of individual signing GEORGE BOTELHO
Valid signature Filed with authorized/valid electronic signature
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2022 272005046 2023-07-29 BONEMENDER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 900 NW 13TH ST SUITE 103, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2023-07-29
Name of individual signing GEORGE BOTELHO
Valid signature Filed with authorized/valid electronic signature
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2021 272005046 2022-09-23 BONEMENDER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 9033 GLADES ROAD, SUITE D, BOCA RATON, FL, 33434

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing GEORGE BOTELHO
Valid signature Filed with authorized/valid electronic signature
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2020 272005046 2021-09-29 BONEMENDER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 9033 GLADES ROAD, SUITE D, BOCA RATON, FL, 33434

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing GEORGE BOTELHO
Valid signature Filed with authorized/valid electronic signature
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2019 272005046 2020-10-14 BONEMENDER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 9033 GLADES ROAD, SUITE D, BOCA RATON, FL, 33434
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2018 272005046 2019-12-19 BONEMENDER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 9033 GLADES ROAD, SUITE D, BOCA RATON, FL, 33434
BONEMENDER, LLC 401(K) PROFIT SHARING PLAN 2017 272005046 2018-10-03 BONEMENDER, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544916969
Plan sponsor’s address 9033 GLADES ROAD, SUITE D, BOCA RATON, FL, 33434

Agent

Name Role Address
BOTELHO GEORGE M Agent 900 NW 13th St, BOCA RATON, FL, 33486

Managing Member

Name Role Address
BOTELHO GEORGE M Managing Member 2880 Banyan Boulevard Circle NW, Boca Raton, FL, 33431

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-16 900 NW 13th St, SUITE 103, BOCA RATON, FL 33486 No data
CHANGE OF MAILING ADDRESS 2022-01-16 900 NW 13th St, SUITE 103, BOCA RATON, FL 33486 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-16 900 NW 13th St, SUITE 103, BOCA RATON, FL 33486 No data
REGISTERED AGENT NAME CHANGED 2015-01-04 BOTELHO, GEORGE M No data

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-01-16
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-05-14
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-16
ANNUAL REPORT 2015-01-04

Related by officers

BOTELHO GEORGE M

SPINE CARE OF PALM BEACH LLC SPINE AND JOINT CARE OF SOUTH FLORIDA, LLC KEYZ INJURY,LLC. THE BONE & JOINT INSTITUTE OF THE PALM BEACHES, LLC GEOCE INC. THE CENTER FOR ORTHOPAEDIC SURGERY, P.A. THE INSTITUTE FOR SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, LLC PLAZA DEL SOL, LLC

Related by address

900 NW 13th St, BOCA RATON, FL, 33486, US

KEYZ INJURY,LLC.

900 NW 13th St, BOCA RATON, FL, 33486, US

KEYZ INJURY,LLC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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