Entity Name: | ALLEGIANCE ORTHOPAEDIC & SPINE INSTITUTE PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Oct 2013 (11 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 10 Aug 2022 (2 years ago) |
Document Number: | L13000149658 |
FEI/EIN Number | 46-3948785 |
Address: | 100 E Linton Blvd, Suite 400 B, DELRAY BEACH, FL 33483 |
Mail Address: | 100 E LINTON BLVD, Suite 400 B, DELRAY BEACH, FL 33483 |
ZIP code: | 33483 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548786890 | 2017-08-18 | 2022-07-21 | 190 CONGRESS AVE, STE 160, DELRAY BEACH, FL, 334454707, US | 9033 GLADES RD STE B, BOCA RATON, FL, 334343939, US | |||||||||||||||||||
|
Phone | +1 561-330-4358 |
Fax | 5613304390 |
Authorized person
Name | JOHN ELDON BAKER |
Role | OWNER |
Phone | 5613304358 |
Taxonomy
Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
License Number | ME86962 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BELLEH, OWEI Z, ESQ | Agent | 4901 NW 17TH WAY, SUITE 605, FORT LAUDERDALE, FL 33309 |
Name | Role | Address |
---|---|---|
RICCA, SUSAN | Manager | 100 E LINTON BLVD STE 400 B, DELRAY BEACH, FL 33483 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-20 | 100 E Linton Blvd, Suite 400 B, DELRAY BEACH, FL 33483 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-20 | 100 E Linton Blvd, Suite 400 B, DELRAY BEACH, FL 33483 | No data |
LC AMENDMENT | 2022-08-10 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2022-08-10 | BELLEH, OWEI Z, ESQ | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-08-10 | 4901 NW 17TH WAY, SUITE 605, FORT LAUDERDALE, FL 33309 | No data |
LC AMENDMENT | 2021-06-29 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-04-20 |
LC Amendment | 2022-08-10 |
ANNUAL REPORT | 2022-03-22 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-01-18 |
ANNUAL REPORT | 2019-04-04 |
ANNUAL REPORT | 2018-03-25 |
ANNUAL REPORT | 2017-01-08 |
ANNUAL REPORT | 2016-02-17 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State