| Entity Name: | FLORIDA ORTHOPEDIC & REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jun 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2019 (5 years ago) |
| Document Number: | L11000064192 |
| FEI/EIN Number | 45-2806834 |
| Address: | 1925 Don Wickham Drive, CLERMONT, FL 34711 |
| Mail Address: | 1925 Don Wickham Drive, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306123021 | 2011-11-09 | 2021-03-04 | 1925 DON WICKHAM DR, CLERMONT, FL, 347111915, US | 1925 DON WICKHAM DR, CLERMONT, FL, 347111915, US | |||||||||||||||||||
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| Phone | +1 352-404-8956 |
| Fax | 3524048958 |
Authorized person
| Name | DR. AMIT B VARMA |
| Role | PHYSICIAN |
| Phone | 3524048956 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME99605 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA SPORTS INJURY AND ORTHOPEDIC INSTITUTE 401(K) PROFIT SHARING PLAN | 2023 | 452806834 | 2024-10-07 | FLORIDA ORTHOPEDIC & REHAB LLC | 85 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-04 |
| Name of individual signing | NEERU VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-04 |
| Name of individual signing | NEERU VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3524048956 |
| Plan sponsor’s address | 1925 DON WICKHAM DR., CLERMONT, FL, 34711 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-31 |
| Name of individual signing | NEERU VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-31 |
| Name of individual signing | NEERU VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3524048956 |
| Plan sponsor’s address | 1925 DON WICKHAM DR., CLERMONT, FL, 34711 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-09 |
| Name of individual signing | NEERU CHOPRA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-09 |
| Name of individual signing | NEERU CHOPRA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3524048956 |
| Plan sponsor’s address | 1925 DON WICKHAM DR., CLERMONT, FL, 34711 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-01 |
| Name of individual signing | NEERU CHOPRA VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-10-01 |
| Name of individual signing | NEERU CHOPRA VARMA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CHOPRA, NEERU | Agent | 1925 Don Wickham Drive, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| VARMA, AMIT | Managing Member | 1925 Don Wickham Drive, CLERMONT, FL 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000077345 | FLORIDA SPORTS INJURY | ACTIVE | 2012-08-05 | 2027-12-31 | No data | 1925 DON WICKHAM DRIVE, CLERMONT, FL, 34711 |
| G11000077728 | FLORIDA SPORTS INJURY & ORTHOPEDIC INSTITUTE | ACTIVE | 2011-08-04 | 2027-12-31 | No data | 1925 DON WICKHAM DRIVE, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-02 | CHOPRA, NEERU | No data |
| REINSTATEMENT | 2018-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-16 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-16 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-16 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| LC NAME CHANGE | 2012-04-02 | FLORIDA ORTHOPEDIC & REHAB LLC | No data |
| LC AMENDMENT | 2011-07-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-03-23 |
| REINSTATEMENT | 2019-10-03 |
| REINSTATEMENT | 2018-10-02 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-05-27 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
