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ESWT ORTHOPEDICS, LLC

Company Details

Entity Name: ESWT ORTHOPEDICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Jun 2022 (3 years ago)
Document Number: L22000257591
FEI/EIN Number 88-3789358
Address: 13980 NE US HIGHWAY 301, WALDO, FL, 32694
Mail Address: 13980 NE US HIGHWAY 301, #364, WALDO, FL, 32694
ZIP code: 32694
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003687674 2024-01-12 2024-01-12 PO BOX 364, WALDO, FL, 326940364, US 1155 NW 13TH ST, GAINESVILLE, FL, 326014137, US

Contacts

Phone +1 877-291-2112
Phone +1 352-258-5858

Authorized person

Name HARLAN CARTER
Role OPERATIONS
Phone 3522585858

Taxonomy

Taxonomy Code 261QP3300X - Pain Clinic/Center
Is Primary Yes

Agent

Name Role Address
CARTER HARLAN Agent 13980 NE US HIGHWAY 301, WALDO, FL, 32694

President

Name Role Address
CARTER MARIA President 671 SE 5TH AVENUE #91, MELROSE, FL, 32666

Manager

Name Role Address
CARTER HARLAN Manager 671 SE 5TH AVENUE #91, MELROSE, FL, 32666

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000054981 HIGH-ENERGY SHOCKWAVE ACTIVE 2023-05-01 2028-12-31 No data PO BOX 364, WALDO, FL, 32694

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-04-30
Florida Limited Liability 2022-06-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State