| Entity Name: | PALM BEACH ORTHOPAEDIC ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM BEACH ORTHOPAEDIC ASSOCIATES, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Jan 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L12000009165 |
| FEI/EIN Number |
650379248
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | po box 24556, jacksonville, FL, 32241, US |
| Address: | 4607 us hwy 17, fleming island, FL, 32003, US |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982768941 | 2006-12-21 | 2012-10-15 | 2580 METROCENTRE BLVD STE 1, WEST PALM BEACH, FL, 334073100, US | 2580 METROCENTRE BLVD, SUITE 1, WEST PALM BEACH, FL, 334073100, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-684-2022 |
| Fax | 5614787921 |
Authorized person
| Name | DR. RAFAEL FOSS |
| Role | MANAGING PARTNER |
| Phone | 5616272821 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0371181-00 |
| State | FL |
| Issuer | BLUE CROSS |
| Number | 0011R |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Foss Rafael | Managing Member | po box 24556, jacksonville, FL, 32241 |
| foss rafael | Agent | 4607 us hwy 17, fleming island, FL, 32003 |
| BRETT GREENWALD ASSOCIATES, LLC | Managing Member | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000027360 | AVENTURA SURGERY CENTER | EXPIRED | 2012-03-19 | 2017-12-31 | - | 2580 METROCENTRE BLVD WEST, SUITE 1, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-01 | 4607 us hwy 17, Suite 2, fleming island, FL 32003 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-01 | 4607 us hwy 17, Suite 2, fleming island, FL 32003 | - |
| CHANGE OF MAILING ADDRESS | 2016-09-15 | 4607 us hwy 17, Suite 2, fleming island, FL 32003 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | foss, rafael | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-09-15 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-12-11 |
| ANNUAL REPORT | 2012-05-01 |
| Florida Limited Liability | 2012-01-18 |
Date of last update: 02 May 2025
Sources: Florida Department of State
