| Entity Name: | OSTEOPATHIC REGENERATIVE MEDICINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 May 2018 (7 years ago) |
| Date of dissolution: | 22 Mar 2021 (4 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Mar 2021 (4 years ago) |
| Document Number: | L18000122796 |
| FEI/EIN Number | 83-0830961 |
| Address: | 3915 BISCAYNE BLVD., STE. 406, MIAMI, FL 33137 |
| Mail Address: | 3915 BISCAYNE BLVD., STE. 406, MIAMI, FL 33137 |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1629564463 | 2018-07-05 | 2018-07-05 | 3915 BISCAYNE BLVD STE 406, MIAMI, FL, 331373737, US | 3915 BISCAYNE BLVD STE 406, MIAMI, FL, 331373737, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-367-1176 |
| Fax | 8773911611 |
Authorized person
| Name | KRISTOPHER GODDARD |
| Role | OWNDER |
| Phone | 3053671176 |
Taxonomy
| Taxonomy Code | 204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2083S0010X - Sports Medicine (Preventive Medicine) Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | OS10979 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ER0200X - Radiology Podiatrist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0000X - Sports Medicine Podiatrist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Goddard, Kristopher | Agent | 3915 Biscayne Blvd, Ste 406, Miami, FL 33137 |
| Name | Role | Address |
|---|---|---|
| GODDARD, KRISTOPHER | Authorized Member | P.O. BOX 31752, KNOXVILLE, TN 37930 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2021-03-22 | No data | No data |
| REINSTATEMENT | 2019-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-19 | Goddard, Kristopher | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-12-19 | 3915 Biscayne Blvd, Ste 406, Miami, FL 33137 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2021-03-22 |
| ANNUAL REPORT | 2020-01-28 |
| REINSTATEMENT | 2019-12-19 |
| Florida Limited Liability | 2018-05-14 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
