| Entity Name: | MOONLIGHT ORTHOTICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2022 (3 years ago) |
| Document Number: | L22000047059 |
| FEI/EIN Number | 88-0580832 |
| Address: | 4680 SW 29th Ter, Fort Lauderdale, FL 33312 |
| Mail Address: | 4680 SW 29th Ter, Fort Lauderdale, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437880333 | 2022-06-21 | 2022-06-22 | 1926 HOLLYWOOD BLVD STE 301, HOLLYWOOD, FL, 330204543, US | 1926 HOLLYWOOD BLVD STE 301, HOLLYWOOD, FL, 330204543, US | |||||||||||||||
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| Phone | +1 954-516-0850 |
| Fax | 9545160870 |
Authorized person
| Name | MR. VLADIMIR DE LA HOZ |
| Role | CEO/PRESIDENT |
| Phone | 9545160850 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUARTE, ZOHIRA | Agent | 4680 SW 29TH TER, FORT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, DIYANGO | Manager | 2324 SW 82 PLACE, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-18 | 4680 SW 29th Ter, Fort Lauderdale, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-18 | 4680 SW 29th Ter, Fort Lauderdale, FL 33312 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-18 | DUARTE, ZOHIRA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-18 | 4680 SW 29TH TER, FORT LAUDERDALE, FL 33312 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-18 |
| ANNUAL REPORT | 2024-08-30 |
| ANNUAL REPORT | 2023-04-26 |
| Florida Limited Liability | 2022-01-26 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
