| Entity Name: | PROSTHETIC DESIGN & RESEARCH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Feb 2013 (12 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 12 Aug 2020 (4 years ago) |
| Document Number: | L13000026463 |
| FEI/EIN Number | 46-2085554 |
| Address: | 14201 BRUCE B DOWNS BLVD, STE 4, TAMPA, FL, 33613, US |
| Mail Address: | 214 E MAIN ST, OKLAHOMA CITY, OK, 73104, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790026201 | 2013-03-07 | 2024-08-22 | 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, FL, 336133906, US | 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, FL, 336133906, US | |||||||||||||||
|
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| Phone | +1 813-971-1100 |
| Fax | 8139719300 |
Authorized person
| Name | JAMES BEARD |
| Role | CREDENTIALING COORDINATOR |
| Phone | 4059004935 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PEDERSEN CARSTEN | Manager | 214 E MAIN ST, OKLAHOMA CITY, OK, 73104 |
| REITER SETH | Manager | 214 E MAIN ST, OKLAHOMA CITY, OK, 73104 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000017932 | MARTIN BIONICS CLINICAL CARE TAMPA | ACTIVE | 2021-02-05 | 2026-12-31 | No data | 14201 BRUCE B. DOWNS BLVD, SUITE 4, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 14201 BRUCE B DOWNS BLVD, STE 4, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 14201 BRUCE B DOWNS BLVD, STE 4, TAMPA, FL 33613 | No data |
| LC AMENDMENT AND NAME CHANGE | 2020-08-12 | PROSTHETIC DESIGN & RESEARCH LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2020-08-12 | CAPITOL CORPORATE SERVICES, INC, | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-12 | 515 EAST PARK AVE, 2ND FLOOR, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-01 |
| LC Amendment and Name Change | 2020-08-12 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-20 |
| AMENDED ANNUAL REPORT | 2016-04-14 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | 36C24825P0296 | 2024-11-19 | 2024-12-31 | 2024-12-31 | |||||||||||||||||||||||||
|
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| Obligated Amount | 11883.21 |
| Current Award Amount | 11883.21 |
| Potential Award Amount | 11883.21 |
Description
| Title | LIMB |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | PROSTHETIC DESIGN & RESEARCH LLC |
| UEI | CKKPKEN6C6E6 |
| Recipient Address | UNITED STATES, 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, HILLSBOROUGH, FLORIDA, 336133906 |
| Unique Award Key | CONT_AWD_36C24825P0301_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 11699.45 |
| Current Award Amount | 11699.45 |
| Potential Award Amount | 11699.45 |
Description
| Title | PROSTHESIS NEW BELOW KNEE |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | PROSTHETIC DESIGN & RESEARCH LLC |
| UEI | CKKPKEN6C6E6 |
| Recipient Address | UNITED STATES, 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, HILLSBOROUGH, FLORIDA, 336133906 |
| Unique Award Key | CONT_AWD_36C24824P2121_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 11088.28 |
| Current Award Amount | 11088.28 |
| Potential Award Amount | 11088.28 |
Description
| Title | LIMB PROSTHESIS |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | PROSTHETIC DESIGN & RESEARCH LLC |
| UEI | CKKPKEN6C6E6 |
| Recipient Address | UNITED STATES, 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, HILLSBOROUGH, FLORIDA, 336133906 |
| Unique Award Key | CONT_AWD_36C24824P1480_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 19427.18 |
| Current Award Amount | 19427.18 |
| Potential Award Amount | 19427.18 |
Description
| Title | LIMB |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | PROSTHETIC DESIGN & RESEARCH LLC |
| UEI | CKKPKEN6C6E6 |
| Recipient Address | UNITED STATES, 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, HILLSBOROUGH, FLORIDA, 336133906 |
| Unique Award Key | CONT_AWD_36C24924P1117_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 17455.57 |
| Current Award Amount | 17455.57 |
| Potential Award Amount | 17455.57 |
Description
| Title | REPLACE SOCKET ABOVE KNEE |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | PROSTHETIC DESIGN & RESEARCH LLC |
| UEI | CKKPKEN6C6E6 |
| Recipient Address | UNITED STATES, 14201 BRUCE B DOWNS BLVD STE 4, TAMPA, HILLSBOROUGH, FLORIDA, 336133906 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
