| Entity Name: | PRESTIGE ORTHOPEDICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Apr 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 19 Dec 2018 (6 years ago) |
| Document Number: | L12000044754 |
| FEI/EIN Number | 45-4949967 |
| Mail Address: | PO BOX 50010, LIGHTHOUSE POINT, FL 33074 |
| Address: | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033553557 | 2013-04-26 | 2013-04-26 | 1245 W FAIRBANKS AVE, SUITE 350, WINTER PARK, FL, 327897111, US | 1245 W FAIRBANKS AVE, SUITE 350, WINTER PARK, FL, 327897111, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 877-941-0111 |
| Fax | 9547851191 |
Authorized person
| Name | CINTIA MUNOZ |
| Role | BILLING MANAGER |
| Phone | 5616866201 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | No |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role |
|---|---|
| AMERICAN MEDICAL ADMINISTRATIVE SERVICES, LLC | Authorized Representative |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000090190 | GREATER ORLANDO OUTPATIENT CENTER | ACTIVE | 2013-09-11 | 2029-12-31 | No data | PO BOX 50010, LIGHTHOUSE POINT, FL, 33074 |
| G13000069426 | WINTER PARK OUTPATIENT CENTER | ACTIVE | 2013-07-10 | 2029-12-31 | No data | PO BOX 50010, LIGHTHOUSE POINT, FL, 33074 |
| G12000116747 | GREATER ORLANDO OUTPATIENT SURGICAL CENTER | ACTIVE | 2012-12-05 | 2027-12-31 | No data | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL, 33069 |
| G12000034164 | WHITE SANDS ORTHOPEDICS | ACTIVE | 2012-04-10 | 2027-12-31 | No data | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL, 33069 |
| G12000031754 | PRESTIGE NEUROSURGERY | ACTIVE | 2012-04-02 | 2027-12-31 | No data | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL, 33069 |
| G12000031883 | SURGICAL MONITORING SYSTEMS | ACTIVE | 2012-04-02 | 2027-12-31 | No data | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL, 33069 |
| G12000031875 | REGIONAL INTERVENTIONAL SPINE PHYSICIANS | ACTIVE | 2012-04-02 | 2027-12-31 | No data | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-27 | NORTHWEST REGISTERED AGENT LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-27 | 7901 4th STREET N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 | No data |
| LC STMNT OF RA/RO CHG | 2018-12-19 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-04-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-29 |
| AMENDED ANNUAL REPORT | 2020-12-21 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-01-02 |
| CORLCRACHG | 2018-12-19 |
| ANNUAL REPORT | 2018-04-26 |
| CORLCRACHG | 2017-04-21 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
