| Entity Name: | GORDIUM TRAUMA RECOVERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Jul 2016 (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: | L16000137889 |
| FEI/EIN Number | 81-3624841 |
| Address: | 4723 W. ATLANTIC AVE., SUITE 19,20,21,22,1,2, DELRAY BEACH, FL 33445 |
| Mail Address: | 4723 W. ATLANTIC AVE, SUITE 19, DELRAY BEACH, FL 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487100533 | 2016-08-29 | 2016-08-29 | 4723 W ATLANTIC AVE STE A11, DELRAY BEACH, FL, 334453895, US | 4723 W ATLANTIC AVE, DELRAY BEACH, FL, 334453895, US | |||||||||||||||||||
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| Fax | 5612655673 |
| Fax | 1561265567 |
Authorized person
| Name | ARPANA SHIVDASANI |
| Role | PHYSICIANS ASSISTANT |
| Phone | 15615620674 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PA9108944 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZUCKER, ROBERT | Agent | 1801 N. MILITARY TRAIL, 160, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| SHIVDASANI, ARPANA | Authorized Member | 4723 W. ATLANTIC, AVE, SUITE 19 DELRAY BEACH, FL 33445 |
| ZUCKER, ROBERT | Authorized Member | 4723 W ATLANTIC AVE SUITE 19, DELRAY BEACH, FL 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-12-08 | No data | No data |
| LC AMENDMENT | 2016-10-31 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-08-04 | GORDIUM TRAUMA RECOVERY LLC | No data |
| Name | Date |
|---|---|
| LC Amendment | 2016-12-08 |
| LC Amendment | 2016-10-31 |
| LC Amendment and Name Change | 2016-08-04 |
| Florida Limited Liability | 2016-07-22 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
