Entity Name: | ATLAS MEDICAL AND ORTHOPEDICS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 20 Jan 2015 (10 years ago) |
Last Event: | LC STMNT OF RA/RO CHG |
Event Date Filed: | 17 Jun 2019 (6 years ago) |
Document Number: | L15000011484 |
FEI/EIN Number | N/A |
Address: | 5511 South Congress Ave., Suite 105, Lake Worth, FL 33462 |
Mail Address: | 5511 South Congress Ave., Suite 105, Lake Worth, FL 33462 |
ZIP code: | 33462 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205218070 | 2015-06-29 | 2015-06-29 | 6864 FOREST HILL BLVD, SUITE B, GREENACRES, FL, 334133339, US | 6864 FOREST HILL BLVD, SUITE B, GREENACRES, FL, 334133339, US | |||||||||||||||||||||||||||
|
Phone | +1 561-425-5757 |
Fax | 8886638123 |
Authorized person
Name | DR. RAHAT FADERANI |
Role | PRESIDENT |
Phone | 5614255757 |
Taxonomy
Taxonomy Code | 207RS0010X - Sports Medicine (Internal Medicine) Physician |
License Number | OS10474 |
State | FL |
Is Primary | No |
Taxonomy Code | 207T00000X - Neurological Surgery Physician |
License Number | ME115180 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
TOPKIN, SANFORD R | Agent | 1166 W NEWPORT CENTER DRIVE, SUITE 309, DEERFIELD BEACH, FL 33442 |
Name | Role | Address |
---|---|---|
FADERANI, M RAHAT | Manager | 6864 FOREST HILL BLVD SUITE B, GREENACRES, FL 33413 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-23 | 5511 South Congress Ave., Suite 105, Lake Worth, FL 33462 | No data |
CHANGE OF MAILING ADDRESS | 2022-03-23 | 5511 South Congress Ave., Suite 105, Lake Worth, FL 33462 | No data |
LC STMNT OF RA/RO CHG | 2019-06-17 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-06-17 | TOPKIN, SANFORD R | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-06-17 | 1166 W NEWPORT CENTER DRIVE, SUITE 309, DEERFIELD BEACH, FL 33442 | No data |
LC AMENDMENT | 2015-04-17 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-03-06 |
AMENDED ANNUAL REPORT | 2022-03-23 |
ANNUAL REPORT | 2022-01-26 |
ANNUAL REPORT | 2021-01-20 |
ANNUAL REPORT | 2020-01-14 |
CORLCRACHG | 2019-06-17 |
Reg. Agent Resignation | 2019-04-08 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-04-24 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State