| Entity Name: | SPINE & ORTHOPEDIC SPECIALISTS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Mar 2022 (3 years ago) |
| Document Number: | L22000152516 |
| FEI/EIN Number | 92-2476592 |
| Address: | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 |
| Mail Address: | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457052896 | 2023-03-13 | 2023-03-13 | 2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL, 334096500, US | 2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL, 334096500, US | |||||||||||||
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| Phone | +1 516-507-0800 |
Authorized person
| Name | CARIANNE YANTZ |
| Role | ASSISTANT ADMIN |
| Phone | 5165070800 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CUTLER, JONATHAN | Agent | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| CUTLER, JONATHAN | Manager | 2047 PALM BEACH LAKES BLVD, SUITE 100 WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| WALKER, JACQUELIN | Vice President | 2047 PALM BEACH LAKES BLVD, SUITE 100 WEST PALM BEACH, FL 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-15 | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-15 | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-15 | 2047 PALM BEACH LAKES BLVD, SUITE 100, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-02-22 |
| Florida Limited Liability | 2022-03-29 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
