| Entity Name: | COMPREHENSIVE ORTHOPAEDICS OF THE GULF COAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | L17000001003 |
| FEI/EIN Number | 81-4812536 |
| Address: | 4900 bayou blvd ste 107, PENSACOLA, FL, 32503, US |
| Mail Address: | 4441 Chula Vista Dr, PENSACOLA, FL, 32504, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013452804 | 2017-01-03 | 2018-07-25 | 3298 SUMMIT BLVD STE 4, PENSACOLA, FL, 325034350, US | 3298 SUMMIT BLVD STE 4, PENSACOLA, FL, 32503, US | |||||||||||||||||||||||||||
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| Phone | +1 850-492-7775 |
| Fax | 8889741051 |
Authorized person
| Name | JASON ROCHA |
| Role | PRESIDENT |
| Phone | 8504927775 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003141200 |
| State | FL |
| Issuer | NCS-MEDICARE |
| Number | 7653620001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROCHA JASON | Agent | 4900 Bayou Blvd Ste 107, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| Rocha Jason | Manager | 4441 Chula Vista Dr, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-12-12 | 4900 bayou blvd ste 107, PENSACOLA, FL 32503 | No data |
| REINSTATEMENT | 2022-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-27 | 4900 Bayou Blvd Ste 107, PENSACOLA, FL 32503 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-17 | 4900 bayou blvd ste 107, PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-29 | ROCHA, JASON | No data |
| REINSTATEMENT | 2020-01-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-07 |
| REINSTATEMENT | 2022-12-12 |
| ANNUAL REPORT | 2021-07-27 |
| REINSTATEMENT | 2020-01-29 |
| ANNUAL REPORT | 2018-01-26 |
| Florida Limited Liability | 2017-01-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
