| Entity Name: | USA SPORTS MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jan 2020 (5 years ago) |
| Document Number: | L20000016845 |
| FEI/EIN Number | 84-4428476 |
| Address: | 404 WASHINGTON AVENUE, SUITE 120, MIAMI BEACH, FL 33139 |
| Mail Address: | 404 WASHINGTON AVENUE, SUITE 120, MIAMI BEACH, FL 33139 |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639700370 | 2020-01-31 | 2020-01-31 | 404 WASHINGTON AVE STE 120, MIAMI BEACH, FL, 331396651, US | 404 WASHINGTON AVE STE 120, MIAMI BEACH, FL, 331396651, US | |||||||||||||||
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| Phone | +1 305-395-9599 |
| Fax | 3059325612 |
Authorized person
| Name | DR. MATTHEW COOPER |
| Role | AO/PROVIDER |
| Phone | 3059359599 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| USA SPORTS MEDICINE LLC 401(K) PLAN | 2023 | 844428476 | 2024-10-09 | USA SPORTS MEDICINE LLC | 59 | |||||||||||||
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| USA SPORTS MEDICINE LLC 401(K) PLAN | 2022 | 844428476 | 2023-10-06 | USA SPORTS MEDICINE LLC | 28 | |||||||||||||
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| USA SPORTS MEDICINE LLC 401(K) PLAN | 2021 | 844428476 | 2022-10-13 | USA SPORTS MEDICINE LLC | 11 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| COOPER, MATTHEW | Agent | 404 WASHINGTON AVENUE, SUITE 120, MIAMI BEACH, FL 33139 |
| Name | Role | Address |
|---|---|---|
| COOPER, MATTHEW | Authorized Member | 404 WASHINGTON AVE, SUITE 120, MIAMI BEACH, FL 33139 |
| USA SPORTS MEDICINE PARENT COMPANY LLC | Authorized Member | No data |
| Name | Role | Address |
|---|---|---|
| Mills, Kevin C | Vice President | 7901 Hispanola Ave., 903 North Bay Village, FL 33141 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-04 |
| AMENDED ANNUAL REPORT | 2024-05-30 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-18 |
| Florida Limited Liability | 2020-01-09 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
