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FLORIDA ORTHOPEDICS AND NEUROSURGERY, LLC

Headquarter

Company Details

Entity Name: FLORIDA ORTHOPEDICS AND NEUROSURGERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 May 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 07 Dec 2017 (7 years ago)
Document Number: L17000114254
FEI/EIN Number 82-2151133
Address: 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461
Mail Address: 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of FLORIDA ORTHOPEDICS AND NEUROSURGERY, LLC, NEW YORK 6333782 NEW YORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831611516 2017-07-13 2017-07-13 4343 N US HIGHWAY 1, FORT PIERCE, FL, 349466434, US 1855 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525530, US

Contacts

Phone +1 772-467-2677
Fax 7724672621

Authorized person

Name MICHAEL WYCOKI JR.
Role MANAGER
Phone 7724672677

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME81066
State FL
Is Primary Yes

Agent

Name Role Address
ESTRA, BRAD Agent 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461

Manager

Name Role Address
ESTRA, BRAD Manager 1620 S. CONGRESS, SUITE 201 PALM SPRINGS, FL 33461

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000113609 UNIVERSITY SURGICAL SUITES ACTIVE 2024-09-11 2029-12-31 No data 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL, 33461
G23000139489 UNIVERSITY ORTHO CARE RX ACTIVE 2023-11-14 2028-12-31 No data 1620 S. CONGRESS AVE, SUITE 201, PALM SPRINGS, FL, 33461
G23000083912 UNIVERSITY ORTHOPEDIC CARE ACTIVE 2023-07-17 2028-12-31 No data 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL, 33461
G22000045842 UNIVERSITY OCCUPATIONAL MEDICINE ACTIVE 2022-04-11 2027-12-31 No data 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL, 33461
G17000089227 UNIVERISTY ORTHOPEDIC CARE EXPIRED 2017-08-14 2022-12-31 No data 4343 N US HWY 1, FORT PIERCE, FL, 34946

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-01-31 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461 No data
CHANGE OF PRINCIPAL ADDRESS 2018-10-15 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461 No data
CHANGE OF MAILING ADDRESS 2018-10-15 1620 S. CONGRESS, SUITE 201, PALM SPRINGS, FL 33461 No data
LC AMENDMENT 2017-12-07 No data No data
REGISTERED AGENT NAME CHANGED 2017-12-07 ESTRA, BRAD No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-12
LC Amendment 2017-12-07
Florida Limited Liability 2017-05-23

Date of last update: 19 Jan 2025

Sources: Florida Department of State