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ALLEGIANCE ORTHOPAEDIC & SPINE INSTITUTE PLLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BELLEH, OWEI Z, ESQ Agent 4901 NW 17TH WAY, SUITE 605, FORT LAUDERDALE, FL 33309

Manager

Name Role Address
RICCA, SUSAN Manager 100 E LINTON BLVD STE 400 B, DELRAY BEACH, FL 33483

Events

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

Documents

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