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PSL ORTHOTICS LLC

Company Details

Entity Name: PSL ORTHOTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 30 Nov 2020 (4 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000363677
FEI/EIN Number 85-3964966
Address: 679 SW WHITMORE DR UNIT #2, PORT SAINT LUCIE, FL, 34984, US
Mail Address: 679 SW Whittemore Dr, Suite 2, PORT SAINT LUCIE, FL, 34984, US
ZIP code: 34984
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396349312 2020-11-30 2020-12-04 679 SW WHITMORE DR STE 2, PORT ST LUCIE, FL, 349843567, US 679 SW WHITMORE DR STE 2, PORT ST LUCIE, FL, 349843567, US

Contacts

Phone +1 772-207-6266
Phone +1 772-249-0141
Fax 7722490445

Authorized person

Name LILIYA HERETSUN-ROUSSONICOLOS
Role OWNER
Phone 7722076266

Taxonomy

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

Agent

Name Role Address
HERETSUN-ROUSSONICOLLILIYA Agent 2565 SW IMPORT DR, PORT SAINT LUCIE, FL, 34987

Authorized Member

Name Role Address
HERETSUN-ROUSSONICOLLILIYA Authorized Member 2565 SW IMPORT DR, PORT SAINT LUCIE, FL, 34987

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2021-03-16 679 SW WHITMORE DR UNIT #2, PORT SAINT LUCIE, FL 34984 No data

Documents

Name Date
ANNUAL REPORT 2021-03-16
Florida Limited Liability 2020-11-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State