| Entity Name: | ANZ ORTHO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2012 (13 years ago) |
| Document Number: | L12000059883 |
| FEI/EIN Number | 45-5196648 |
| Address: | 1040 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
| Mail Address: | 59 Shoreline Drive, GULF BREEZE, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568727154 | 2012-07-10 | 2012-12-10 | 1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL, 325617809, US | 1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL, 325617809, US | |||||||||||||||||||||
|
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| Phone | +1 850-916-3700 |
| Fax | 8509163710 |
Authorized person
| Name | ADAM W. ANZ |
| Role | OWNER |
| Phone | 8509163700 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006470200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Anz Adam | Agent | 59 Shoreline Dr, Gulf Breeze, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| ANZ ADAM W | Managing Member | 59 Shoreline Drive, GULF BREEZE, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-04-27 | Anz, Adam | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-27 | 59 Shoreline Dr, Gulf Breeze, FL 32561 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-11 | 1040 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
