| Entity Name: | JUPITER ORTHOPEDICS AND SPORTS MEDICINE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
JUPITER ORTHOPEDICS AND SPORTS MEDICINE PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Nov 2014 (10 years ago) |
| Date of dissolution: | 06 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Jan 2024 (a year ago) |
| Document Number: | L14000172385 |
| FEI/EIN Number |
47-2415152
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2055 MILITARY TRAIL, SUITE 204, JUPITER, FL 33458 |
| Mail Address: | 2055 MILITARY TRAIL, SUITE 204, JUPITER, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396143392 | 2014-12-08 | 2014-12-08 | 2055 MILITARY TRL, SUITE 204, JUPITER, FL, 334587801, US | 2055 MILITARY TRL, SUITE 204, JUPITER, FL, 334587801, US | |||||||||||||||||||||||
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| Phone | +1 561-744-9733 |
Authorized person
| Name | DR. WADE C VAN SICE |
| Role | PHYSICIAN/SURGEON |
| Phone | 5046156325 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | ME122314 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1500356 |
| State | LA |
| Name | Role | Address |
|---|---|---|
| VAN SICE, WADE C | Agent | 2055 MILITARY TRAIL, SUITE 204, JUPITER, FL 33458 |
| VAN SICE, WADE | Manager | 118 Poplar Grove Ln, Covington, LA 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-06 | - | - |
| LC AMENDMENT AND NAME CHANGE | 2014-11-13 | JUPITER ORTHOPEDICS AND SPORTS MEDICINE PLLC | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-06 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-14 |
| LC Amendment and Name Change | 2014-11-13 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
