| Entity Name: | CENTER FOR ORTHOPEDIC AND SPINAL SURGERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Apr 2012 (13 years ago) |
| Document Number: | L12000054365 |
| FEI/EIN Number | 45-5073841 |
| Address: | 701 Northlake Blvd, STE 201, North Palm Beach, FL, 33408, US |
| Mail Address: | 701 Northlake Blvd, STE 201, North Palm Beach, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699115584 | 2013-06-25 | 2019-05-29 | 701 NORTHLAKE BLVD, SUITE#201, NORTH PALM BEACH, FL, 334085215, US | 701 NORTHLAKE BLVD, SUITE#201, NORTH PALM BEACH, FL, 334085215, US | |||||||||||||||||||
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| Phone | +1 561-845-7078 |
| Fax | 5618458030 |
Authorized person
| Name | DR. ROBERT DANIEL SIMON |
| Role | PHYSICIAN |
| Phone | 5618457078 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME00073142 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIMON ROBERT D | Agent | 701 Northlake Blvd, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| SIMON ROBERT D | Manager | 8381 WOODSMUIR, W PALM BEACH, FL, 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-10 | 701 Northlake Blvd, STE 201, North Palm Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-10 | 701 Northlake Blvd, STE 201, North Palm Beach, FL 33408 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-10 | 701 Northlake Blvd, STE 201, North Palm Beach, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-05-22 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-02-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
