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ORTHOPEDIC & SPINE SPECIALISTS OF THE PALM BEACHES LLC

Company Details

Entity Name: ORTHOPEDIC & SPINE SPECIALISTS OF THE PALM BEACHES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 23 Jan 2017 (8 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L17000017976
FEI/EIN Number 81-5049176
Address: 7749 LAKE WORTH RD, LAKE WORTH, FL, 33467, UN
Mail Address: 11751 STONEHAVEN WAY, WEST PALM BEACH, FL, 33412, UN
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952848327 2017-01-24 2017-01-24 8929 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US 7749 LAKE WORTH RD, LAKE WORTH, FL, 334672536, US

Contacts

Phone +1 772-546-9591
Phone +1 561-434-9949

Authorized person

Name JENEANE WAKULA
Role OFFICE MANAGER
Phone 7725469591

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number OS13758
State FL
Is Primary Yes

Agent

Name Role
DTHG MEDICAL LLC Agent

Member

Name Role
DTFP LLC Member
DTHG MEDICAL LLC Member

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2018-04-30
Florida Limited Liability 2017-01-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State