| Entity Name: | OTTEY BONE AND JOINT ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
OTTEY BONE AND JOINT ASSOCIATES, LLC 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 23 Mar 2012 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Sep 2012 (13 years ago) |
| Document Number: | L12000040815 |
| FEI/EIN Number |
45-4666349
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 417 West Call Street, STARKE, FL, 32091, US |
| Mail Address: | 417 W Call Street, STARKE, FL, 32091, US |
| ZIP code: | 32091 |
| County: | Bradford |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114292422 | 2012-03-20 | 2016-09-23 | 417 W CALL ST, STARKE, FL, 320913115, US | 417 W CALL ST, STARKE, FL, 320913115, US | |||||||||||||||||||||||||
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| Phone | +1 904-368-0641 |
| Fax | 9043680643 |
Authorized person
| Name | DERON C OTTEY |
| Role | OWNER |
| Phone | 9043680641 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME112364 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004663600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OTTEY DERON | Managing Member | 417 West Call Street, STARKE, FL, 32091 |
| OTTEY DERON | Agent | 417 West Call Street, STARKE, FL, 32091 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-14 | 417 West Call Street, STARKE, FL 32091 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-22 | 417 West Call Street, STARKE, FL 32091 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-22 | 417 West Call Street, STARKE, FL 32091 | - |
| LC AMENDMENT | 2012-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-02-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6273368007 | 2020-06-30 | 0491 | PPP | 417 W CALL ST, STARKE, FL, 32091-3115 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
