| Entity Name: | BREVARD COUNTY ORTHOPEDIC & SPINE ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Mar 2018 (7 years ago) |
| Document Number: | L17000035540 |
| FEI/EIN Number | 81-5113216 |
| Address: | 2090 SARNO RD., MELBOURNE, FL, 32935, UN |
| Mail Address: | 11181 SE FEDERAL HWY, HOBE SOUND, FL, 33455, UN |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588101604 | 2017-01-26 | 2017-01-26 | 8929 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US | 2090 SARNO RD, MELBOURNE, FL, 329353077, US | |||||||||||||||||||
|
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| Phone | +1 772-546-9591 |
| Phone | +1 321-608-8888 |
Authorized person
| Name | JENEANE WAKULA |
| Role | OFFICE MANAGER |
| Phone | 7725469591 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | OS12542 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JCVG MEDICAL LLC | Agent |
| Name | Role |
|---|---|
| JCVG MEDICAL LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-29 | 10130 northlake blvd, ste 214 #338, palm beach gardens, FL 33412 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-05 | 2090 SARNO RD., MELBOURNE, FL 32935 UN | No data |
| LC AMENDMENT | 2018-03-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-30 |
| LC Amendment | 2018-03-05 |
| Florida Limited Liability | 2017-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
