| Entity Name: | PALM ORTHOPEDICS & INTERVENTIONAL PAIN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2013 (12 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | L13000063420 |
| FEI/EIN Number | 46-2668882 |
| Address: | 7710 NW 71ST CT, SUITE 201, Tamarac, FL, 33321, US |
| Mail Address: | 7710 NW 71ST CT, SUITE 201, TAMARAC, FL, 33321, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609469402 | 2021-02-12 | 2021-02-12 | 5458 TOWN CENTER RD STE 104, BOCA RATON, FL, 334861026, US | 7710 NW 71ST CT STE 205, TAMARAC, FL, 333212931, US | |||||||||||||||
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| Phone | +1 561-859-4275 |
| Phone | +1 954-747-1221 |
Authorized person
| Name | WILLIAM VANDERBROOK |
| Role | OWNER |
| Phone | 5618594275 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMERON JULIAN | Agent | 7710 NW 71ST CT, SUITE 201, TAMARAC, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| CAMERON JULIAN | Auth | 405 S RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000092643 | COMPREHENSIVE SPINE AND JOINT | ACTIVE | 2020-07-30 | 2025-12-31 | No data | 6080 W BOYNTON BEACH BLVD, STE 100, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-27 | 7710 NW 71ST CT, SUITE 201, Tamarac, FL 33321 | No data |
| LC AMENDMENT | 2023-04-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 7710 NW 71ST CT, SUITE 201, Tamarac, FL 33321 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-13 | CAMERON, JULIAN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| LC Amendment | 2023-04-13 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-18 |
| AMENDED ANNUAL REPORT | 2020-09-01 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
