| Entity Name: | PROSTHETICS CLINIC OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2017 (7 years ago) |
| Document Number: | L17000256813 |
| FEI/EIN Number | 82-3743782 |
| Address: | 5651 Gulf drive, New Port Richey, FL, 34652, US |
| Mail Address: | 5651 Gulf drive, New Port Richey, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912406950 | 2018-02-05 | 2024-02-26 | 5651 GULF DR STE 4, NEW PORT RICHEY, FL, 346524019, US | 5651 GULF DR STE 4, NEW PORT RICHEY, FL, 346524019, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 352-436-1688 |
Authorized person
| Name | BERNARD SWIERZBINSKI |
| Role | CEO |
| Phone | 3524361688 |
Taxonomy
| Taxonomy Code | 222Z00000X - Orthotist |
| License Number | POR240 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 224P00000X - Prosthetist |
| License Number | POR240 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QA0900X - Amputee Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Swierzbinski Bernard | Agent | 5651 Gulf Drive, New Port Richey, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| Swierzbinski Bernard | Manager | 5651 Gulf drive, New Port Richey, FL, 34652 |
| Zavrou Sophia | Manager | 5651 Gulf drive, New Port Richey, FL, 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-01-22 | Swierzbinski, Bernard | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-22 | 5651 Gulf Drive, Suite 4, New Port Richey, FL 34652 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-08 | 5651 Gulf drive, Suite 4, New Port Richey, FL 34652 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-08 | 5651 Gulf drive, Suite 4, New Port Richey, FL 34652 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-07-09 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-22 |
| AMENDED ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2018-02-23 |
| Florida Limited Liability | 2017-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
