| Entity Name: | GALAXY ORTHOPEDIC & SPINE INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2018 (7 years ago) |
| Document Number: | L18000196583 |
| FEI/EIN Number | 83-1604525 |
| Address: | 9774 SW 24 ST, MIAMI, FL 33165 |
| Mail Address: | 9774 SW 24 ST, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003386798 | 2018-11-26 | 2018-11-26 | 9774 SW 24TH ST, MIAMI, FL, 331657574, US | 9774 SW 24TH ST, MIAMI, FL, 331657574, US | |||||||||||||
|
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| Phone | +1 305-522-6344 |
Authorized person
| Name | MS. GEORGETT HERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 7865066128 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PONCE DE LEON, JOSE LUIS, RA | Agent | 9774 sw 24 st, miami, FL 33165 |
| Name | Role | Address |
|---|---|---|
| PONCE DE LEON, JOSE LUIS | Manager | 9774 SW 24 ST, MIAMI, FL 33165 |
| CEPEDA, JORGE A | Manager | 9774 SW 24 ST, MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 9774 sw 24 st, miami, FL 33165 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-31 | 9774 SW 24 ST, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-31 | 9774 SW 24 ST, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-08-16 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
