| Entity Name: | CEDA ORTHOPEDIC GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jan 2018 (7 years ago) |
| Document Number: | L18000025898 |
| FEI/EIN Number | 82-4257489 |
| Address: | 815 NW 57th Ave, Suite 405, Miami, FL 33126 |
| Mail Address: | 815 NW 57th Ave, Suite 405, Miami, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346737749 | 2018-04-20 | 2020-12-14 | P.O. BOX 26-1750, MIAMI, FL, 33126, US | 815 NW 57TH AVENUE, STE. 202, MIAMI, FL, 33126, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 305-669-1808 |
| Fax | 3058885299 |
Authorized person
| Name | MARK ANTHONY CERECEDA |
| Role | OWNER/CEO |
| Phone | 3058885280 |
Taxonomy
| Taxonomy Code | 111NX0800X - Orthopedic Chiropractor |
| License Number | ME-31217 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PHYSICIANS CENTRAL BUSINESS OFFICE, LLC | Agent | 815 NW 57th Ave, Suite 405, Miami, FL 33126 |
| Name | Role | Address |
|---|---|---|
| CERECEDA, MARK A | Manager | 815 NW 57th Ave, Suite 405 Miami, FL 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000137755 | CEDA ORTHOPEDIC GROUP | ACTIVE | 2023-11-09 | 2028-12-31 | No data | 815 NW 57TH AVENUE, SUITE 405, MIAMI, FL, 33126 |
| G21000159778 | THE SURGERY CENTER AT BLUE LAGOON | ACTIVE | 2021-12-02 | 2026-12-31 | No data | C/O PHYSICIANS CENTRAL BUSINESS OFFICE,, 815 NW 57TH AVENUE SUITE 405, MIAMI, FL, 33126 |
| G21000155953 | THE SURGERY CENTER AT BLUE LAGOON | ACTIVE | 2021-11-22 | 2026-12-31 | No data | 815 NW 57TH AVE SUITE 405, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 815 NW 57th Ave, Suite 405, Miami, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 815 NW 57th Ave, Suite 405, Miami, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 815 NW 57th Ave, Suite 405, Miami, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-01-29 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
