| Entity Name: | NOVA ORTHO AND SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2018 (6 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Nov 2023 (a year ago) |
| Document Number: | L18000277054 |
| FEI/EIN Number | 83-2715749 |
| Address: | 1903 S 25th Street, suite 103, Fort Pierce, FL, 34990, US |
| Mail Address: | 1903 S 25th Street, fort pierce, FL, 34947, US |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144787243 | 2019-02-25 | 2019-02-25 | 1903 S 25TH ST STE 103, FORT PIERCE, FL, 349474740, US | 1903 S 25TH ST STE 103, FORT PIERCE, FL, 349474740, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 772-529-4573 |
| Fax | 7724104062 |
Authorized person
| Name | DR. MARC D BRODSKY |
| Role | PHYSICIAN |
| Phone | 7722607023 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRODSKY MARC DMD | Agent | 1903 S 25th Street, fort pierce, FL, 34947 |
| Name | Role | Address |
|---|---|---|
| BRODSKY MARC DMD | Manager | 1903 S 25th Street, fort pierce, FL, 34947 |
| CUNNINGHAM ALEX | Manager | 3753 HOWARD HUGES PKWY STE 200, LAS VEGAS, NV, 89169 |
| THOMPSON DANIEL | Manager | 3753 HOWARD HUGES PKWY STE 200, LAS VEGAS, NV, 89169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-11-07 | NOVA ORTHO AND SPINE, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-13 | 1903 S 25th Street, Suite 103, fort pierce, FL 34947 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-24 | 1903 S 25th Street, suite 103, Fort Pierce, FL 34990 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-24 | 1903 S 25th Street, suite 103, Fort Pierce, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| LC Amendment and Name Change | 2023-11-07 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-02-24 |
| Florida Limited Liability | 2018-12-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
