| Entity Name: | SOUTH FLORIDA LOWER EXTREMITY INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2020 (5 years ago) |
| Document Number: | L20000239446 |
| FEI/EIN Number | 85-2628117 |
| Address: | 5602 PGA Boulevard, Palm Beach Gardens, FL, 33418, US |
| Mail Address: | 5602 PGA Boulevard, Palm Beach Gardens, FL, 33418, US |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922747146 | 2022-06-04 | 2022-06-22 | 5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL, 334183829, US | 5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL, 334183829, US | |||||||||||||||||||||
|
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| Phone | +1 561-627-6444 |
Authorized person
| Name | DR. CASON M. QUINN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 5613201248 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role |
|---|---|
| BEIGHLEY, MYRICK & UDELL & LYNNE, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| Quinn Cason | Manager | 5602 PGA Boulevard, Palm Beach Gardens, FL, 33418 |
| Quinn Steven | Manager | 5602 PGA Boulevard, Palm Beach Gardens, FL, 33418 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000108250 | SOFLLEX | ACTIVE | 2020-08-21 | 2025-12-31 | No data | 5602 PGA BLVD E, STE 101, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 5602 PGA Boulevard, 101, Palm Beach Gardens, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 5602 PGA Boulevard, 101, Palm Beach Gardens, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-26 |
| Florida Limited Liability | 2020-08-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
