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  5. SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Company Details

Entity Name: SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
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 59-3696338
Address: 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216
Mail Address: 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023865821 2024-05-01 2024-05-01 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL, 322168203, US 2300 ORANGE PARK, STE 206, ORANGE PARK, FL, 32073, US

Contacts
Phone +1 904-634-0640

Authorized person
Name BRETT PUCKETT
Role PRESIDENT
Phone 9046340640

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
ROMINE, DONNIE Agent 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216

Manager

Name Role Address
BATES, AARON M., M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
HURFORD, ROBERT K., PH.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
DUFFY , GAVAN P., M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
Deshmukh, Rahul, M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
Van Rensburg, Shaun Janse, D.O. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
PUCKETT, BRETT C., M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
ACEVEDO, JORGE I., M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
GOLL, CHRISTOPHER R., M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
ARNDT, STEPHEN, M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216
COLLIER, FRANK, M.D. Manager 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216

President

Name Role Address
DUFFY , GAVAN P., M.D. President 6800 Southpoint Pkwy, Suite 300 Jacksonville, FL 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 No data
CHANGE OF MAILING ADDRESS 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-29 6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216 No data
CONVERSION 2020-01-31 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000014210. CONVERSION NUMBER 500000200345

Documents

Name Date
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

Related by officers

ROMINE, DONNIE

ST. VINCENT'S PHYSICIAN ENTERPRISE, INC. 232 PV PARK, LLC SEOS RS HOLDINGS LLC SEOS PV HOLDINGS LLC SEOS PROPERTY MANAGEMENT LLC SEOS FI HOLDINGS, LLC TDDPC, LLC SEOS HOLDINGS, INC. HOPCO EQUITY HOLDINGS, LLC HSSCN HOLDINGS, LLC

Related by address

6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216

TDDPC, LLC SEOS HOLDINGS, INC. HOPCO EQUITY HOLDINGS, LLC HSSCN HOLDINGS, LLC

6800 Southpoint Pkwy, Suite 300, Jacksonville, FL 32216

TDDPC, LLC SEOS HOLDINGS, INC. HOPCO EQUITY HOLDINGS, LLC HSSCN HOLDINGS, LLC

Date of last update: 16 Jan 2025

Sources: Florida Department of State

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