| Entity Name: | BLUE SKY ORTHOPEDICS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Sep 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Nov 2022 (2 years ago) |
| Document Number: | L21000395077 |
| FEI/EIN Number | 87-2683564 |
| Address: | 2338 IMMOKALEE ROAD, STE 423, NAPLES, FL, 34110 |
| Mail Address: | 2338 IMMOKALEE ROAD, STE 423, NAPLES, FL, 34110 |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023735909 | 2022-10-21 | 2022-12-14 | 2338 IMMOKALEE RD STE 423, NAPLES, FL, 341101445, US | 4513 EXECUTIVE DR, SUITE #102, NAPLES, FL, 34119, US | |||||||||||||||||||||
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| Phone | +1 615-618-5555 |
| Phone | +1 239-877-4662 |
| Fax | 8664395644 |
Authorized person
| Name | DR. ROBERT D SWIFT |
| Role | DIRECTOR |
| Phone | 6156185555 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1669448403 |
| Name | Role | Address |
|---|---|---|
| SWIFT ROBERT | Agent | 2338 IMMOKALEE ROAD, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| SWIFT ROBERT | Authorized Member | 2338 IMMOKALEE ROAD, STE 423, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-11-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-22 | SWIFT, ROBERT | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-16 |
| REINSTATEMENT | 2022-11-22 |
| Florida Limited Liability | 2021-09-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
