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PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC - Florida Company Profile

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Company Details

Entity Name: PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Jun 2013 (12 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: L13000091729
FEI/EIN Number 46-3107152
Address: 10050 SW Innovation Way, PORT ST. LUCIE, FL, 34987, US
Mail Address: 10050 SW Innovation Way, PORT ST. LUCIE, FL, 34987, US
ZIP code: 34987
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JENSEN WILLIAM Managing Member 10081 SW DOLCE RD, PORT ST. LUCIE, FL, 34986
WILSON KELLI Agent 10050 SW Innovation Way, PORT ST. LUCIE, FL, 34987

National Provider Identifier

NPI Number:
1679914105

Authorized Person:

Name:
DR. WILLIAM JENSEN
Role:
MGR
Phone:

Taxonomy:

Selected Taxonomy:
207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2014-01-18 10050 SW Innovation Way, 201, PORT ST. LUCIE, FL 34987 -
CHANGE OF MAILING ADDRESS 2014-01-18 10050 SW Innovation Way, 201, PORT ST. LUCIE, FL 34987 -
REGISTERED AGENT ADDRESS CHANGED 2014-01-18 10050 SW Innovation Way, 201, PORT ST. LUCIE, FL 34987 -

Documents

Name Date
ANNUAL REPORT 2014-01-18
Florida Limited Liability 2013-06-25

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Date of last update: 03 Jul 2025

Sources: Florida Department of State