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FERNANDEZ UPPER EXTREMITY INSTITUTE PLLC

Company Details

Entity Name: FERNANDEZ UPPER EXTREMITY INSTITUTE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Feb 2018 (7 years ago)
Document Number: L18000045134
FEI/EIN Number 82-4508019
Address: 730 GOODLETTE FRANK ROAD NORTH, SUITE 204, NAPLES, FL, 34102, US
Mail Address: 730 GOODLETTE FRANK ROAD NORTH, SUITE 204, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174025720 2018-02-28 2020-05-29 730 GOODLETTE FRANK ROAD N, STE 204, NAPLES, FL, 341025618, US 730 GOODLETTE FRANK RD N, STE 204, NAPLES, FL, 341025618, US

Contacts

Phone +1 239-337-2003
Phone +1 239-777-9321

Authorized person

Name CARMELLA FERNANDEZ
Role PRESIDENT
Phone 2393372003

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number ME126810
State FL
Is Primary No
Taxonomy Code 207XS0106X - Orthopaedic Hand Surgery Physician
License Number ME126810
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ CARMELLA Agent 730 GOODLETTE FRANK ROAD NORTH, NAPLES, FL, 34102

President

Name Role Address
FERNANDEZ CARMELLA President 730 GOODLETTE FRANK ROAD NORTH, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-02 730 GOODLETTE FRANK ROAD NORTH, SUITE 204, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2019-03-02 730 GOODLETTE FRANK ROAD NORTH, SUITE 204, NAPLES, FL 34102 No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-02 730 GOODLETTE FRANK ROAD NORTH, SUITE 204, NAPLES, FL 34102 No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-05-10
ANNUAL REPORT 2020-05-27
ANNUAL REPORT 2019-03-02
Florida Limited Liability 2018-02-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State