| Entity Name: | PALM ORTHOPEDICS & REHABILITATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000134306 |
| FEI/EIN Number | 46-1237477 |
| Address: | 5458 TOWN CENTER ROAD, SUITE 104B, BOCA RATON, FL, 33486, US |
| Mail Address: | 5458 TOWN CENTER ROAD, SUITE 104B, BOCA RATON, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366786931 | 2012-11-20 | 2012-11-20 | 5458 TOWN CENTER RD, SUITE 104B, BOCA RATON, FL, 334861089, US | 5458 TOWN CENTER ROAD, SUITE 104B, BOCA RATON, FL, 33486, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-961-5699 |
| Fax | 5619615899 |
Authorized person
| Name | DR. WILLIAM FREDERICK VANDERBROOK |
| Role | PRESIDENT |
| Phone | 5619615699 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTH FLORIDA TAX, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| STARACE LOUIS M | Managing Member | 5458 TOWN CENTER ROAD STE 104-B, BOCA RATON, FL, 33486 |
| MUSAFFI DONALD | Managing Member | 5458 TOWN CENTER ROAD STE 104-B, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT | 2012-12-07 | No data | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2012-10-31 | PALM ORTHOPEDICS & REHABILITATION LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-30 |
| CORLCMMRES | 2013-02-05 |
| LC Amendment | 2012-12-07 |
| LC Article of Correction/NC | 2012-10-31 |
| Florida Limited Liability | 2012-10-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
