| Entity Name: | ELITE ORTHOPEDIC SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2012 (13 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 23 Apr 2014 (11 years ago) |
| Document Number: | L12000090837 |
| FEI/EIN Number | 46-3608664 |
| Address: | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000, TAMPA, FL 33602 |
| Mail Address: | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000, TAMPA, FL 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376974097 | 2013-12-05 | 2015-03-17 | 6918 GUNN HWY, SUITE E, TAMPA, FL, 336253853, US | 6918 GUNN HWY, SUITE E, TAMPA, FL, 336253853, US | |||||||||||||||
|
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| Phone | +1 815-852-2500 |
| Fax | 8138522602 |
Authorized person
| Name | GEORGE DEAN VANDERHOOF |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8135050790 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOODWIN, JAMES W., ESQ. | Agent | 201 N. FRANKLIN STREET, SUITE 2000, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| TRAVIESA, A. TREY | Manager | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000 TAMPA, FL 33602 |
| SCOTT, KEVIN L., MD | Manager | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000 TAMPA, FL 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000106157 | ELITE SURGERY CENTER TAMPA | EXPIRED | 2016-09-28 | 2021-12-31 | No data | 6918 GUNN HIGHWAY SUITE E, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2014-04-23 | ELITE ORTHOPEDIC SPECIALISTS, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-16 | GOODWIN, JAMES W., ESQ. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-16 | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000, TAMPA, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-16 | c/o JAMES W. GOODWIN, ESQ., 201 N. FRANKLIN STREET, SUITE 2000, TAMPA, FL 33602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-02 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
