| Entity Name: | MELI ORTHOPEDIC CENTERS OF EXCELLENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Jun 2017 (8 years ago) |
| Document Number: | L14000104605 |
| FEI/EIN Number | 65-0213201 |
| Address: | 4800 NE 20th Terrace, Suite # 303, FORT LAUDERDALE, FL 33308 |
| Mail Address: | 3536 N FEDERAL HWY,, STE #202, FORT LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841757580 | 2019-03-01 | 2020-12-23 | PO BOX 162743, ALTAMONTE SPRINGS, FL, 327162743, US | 201 NW 82ND AVE STE 102, PLANTATION, FL, 333241853, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-580-4080 |
| Fax | 9545305069 |
| Phone | +1 954-771-8177 |
Authorized person
| Name | GERNELL HAMILTON |
| Role | CREDENTIALING |
| Phone | 9544513008 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL I. MELI, III, M. D. , P. A. 401(K) PROFIT SHARING PLAN | 2019 | 650213201 | 2020-08-24 | MELI ORTHOPEDIC CENTERS OF EXCELLENCE, LLC | 55 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2020-08-24 |
| Name of individual signing | STACIA LAWRENCE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9545667590 |
| Plan sponsor’s address | 3536 N. FEDERAL HIGHWAY, #202, FT. LAUDERDALE, FL, 333084608 |
Signature of
| Role | Plan administrator |
| Date | 2020-09-29 |
| Name of individual signing | STACIA LAWRENCE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9545667590 |
| Plan sponsor’s address | 3536 N. FEDERAL HIGHWAY, #202, FT. LAUDERDALE, FL, 333084608 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-10 |
| Name of individual signing | STACIA LAWRENCE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9545667590 |
| Plan sponsor’s address | 3536 N. FEDERAL HIGHWAY, #202, FT. LAUDERDALE, FL, 333084608 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-04 |
| Name of individual signing | STACIA LAWRENCE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BOLTON, DASZKAL | Agent | 2401 NW BOCA RATON BLVD, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| LAWRENCE, STACIA | Manager | 3536 N FEDERAL HWY,, STE #202 FORT LAUDERDALE, FL 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000018454 | SOUTH FLORIDA ORTHOPEDIC GROUP | ACTIVE | 2022-02-14 | 2027-12-31 | No data | 3536 NORTH FEDERAL HIGHWAY, SUITE 202, FORT LAUDERDALE, FL, 33308 |
| G16000002431 | ORTHOPEDIX MD | ACTIVE | 2016-01-06 | 2026-12-31 | No data | 3536 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL, 33308 |
| G16000000676 | ORTHOPEDICS MD | ACTIVE | 2016-01-04 | 2026-12-31 | No data | 3536 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-04 | 4800 NE 20th Terrace, Suite # 303, FORT LAUDERDALE, FL 33308 | No data |
| LC AMENDMENT | 2017-06-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-26 | 2401 NW BOCA RATON BLVD, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-06-26 | BOLTON, DASZKAL | No data |
| LC STMNT OF RA/RO CHG | 2017-01-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-09-15 | 4800 NE 20th Terrace, Suite # 303, FORT LAUDERDALE, FL 33308 | No data |
| LC AMENDMENT | 2014-10-28 | No data | No data |
| CONVERSION | 2014-06-30 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L95429. CONVERSION NUMBER 900000141839 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-06-27 |
| CORLCRACHG | 2017-01-23 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
