| Entity Name: | ADVANCED ORTHO & SPORTS MED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Dec 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000203127 |
| FEI/EIN Number | 81-0732449 |
| Address: | 1639 N VOLUSIA AVE, ORANGE CITY, FL 32763 |
| Mail Address: | 1639 N VOLUSIA AVE, ORANGE CITY, FL 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265807598 | 2015-12-11 | 2016-05-09 | 1639 N VOLUSIA AVE, ORANGE CITY, FL, 327633843, US | 1639 N VOLUSIA AVE, ORANGE CITY, FL, 327633843, US | |||||||||||||||||
|
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| Phone | +1 386-775-2012 |
Authorized person
| Name | RICHARD G VALENZUELA |
| Role | MD/OWNER |
| Phone | 3522845181 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALENZUELA, RICHARD G, MD | Agent | 1639 N. VOLUSIA AVE, ORANGE CITY, FL 32763 |
| Name | Role | Address |
|---|---|---|
| VALENZUELA, RICHARD G, MD | Managing Member | 410 LAKEWOOD DR, WINTER PARK, FL 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-01-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-02 |
| LC Amendment | 2016-01-15 |
| Florida Limited Liability | 2015-12-04 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
