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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC - Florida Company Profile

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Company Details

Entity Name: SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Jan 2020 (5 years ago)
Last Event: CONVERSION
Event Date Filed: 31 Jan 2020 (5 years ago)
Document Number: L20000052914
FEI/EIN Number 593696338

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6800 Southpoint Pkwy, Jacksonville, FL, 32216, US
Mail Address: 6800 Southpoint Pkwy, Jacksonville, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BATES AARON MM.D. Manager 6800 Southpoint Pkwy, Jacksonville, FL, 32216
HURFORD ROBERT KPH.D. Manager 6800 Southpoint Pkwy, Jacksonville, FL, 32216
DUFFY GAVAN PM.D. President 6800 Southpoint Pkwy, Jacksonville, FL, 32216
Deshmukh Rahul M.D. Manager 6800 Southpoint Pkwy, Jacksonville, FL, 32216
Van Rensburg Shaun JD.O. Manager 6800 Southpoint Pkwy, Jacksonville, FL, 32216
PUCKETT BRETT MM.D. Manager 6800 Southpoint Pkwy, Jacksonville, FL, 32216
ROMINE DONNIE Agent 6800 Southpoint Pkwy, Jacksonville, FL, 32216

National Provider Identifier

NPI Number:
1629025820
Certification Date:
2024-12-13

Authorized Person:

Name:
BRETT PUCKETT
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary:
No
Selected Taxonomy:
207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207XX0004X - Orthopaedic Foot and Ankle Surgery Physician
Is Primary:
No

Contacts:

Fax:
9046340203

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 -
CHANGE OF MAILING ADDRESS 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 -
CONVERSION 2020-01-31 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000014210. CONVERSION NUMBER 500000200345

Documents

Name Date
AMENDED ANNUAL REPORT 2025-02-12
ANNUAL REPORT 2025-02-10
AMENDED ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-24
Florida Limited Liability 2020-01-31

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Date of last update: 02 Jul 2025

Sources: Florida Department of State