Search icon

INSTITUTE OF REGENERATIVE SPORTS MEDICINE, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: INSTITUTE OF REGENERATIVE SPORTS MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jan 2021 (5 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
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LAWRENCE STACIA Manager 3536 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL, 33308
REYNOLDS KEVIN Agent 2401 NW BOCA RATON BLVD, BOCA RATON, FL, 33431

National Provider Identifier

NPI Number:
1043880131
Certification Date:
2021-06-30

Authorized Person:

Name:
RICHARD MELI
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-05
Florida Limited Liability 2021-01-25

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State