| Entity Name: | INSTITUTE OF REGENERATIVE SPORTS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2021 (4 years ago) |
| Document Number: | L21000044460 |
| FEI/EIN Number | 86-1946573 |
| Address: | 4800 NE 20TH TERRACE, 303, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 3536 NORTH FEDERAL HIGHWAY, 202, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043880131 | 2021-06-30 | 2021-06-30 | 4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL, 333084510, US | 2825 N STATE ROAD 7 STE 204, MARGATE, FL, 330635737, US | |||||||||||||||
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| Phone | +1 954-451-3000 |
| Phone | +1 954-451-3008 |
Authorized person
| Name | RICHARD MELI |
| Role | MD |
| Phone | 9546122183 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS KEVIN | Agent | 2401 NW BOCA RATON BLVD, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| LAWRENCE STACIA | Manager | 3536 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL, 33308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
