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NULIFE ORTHOPEDICS & NEUROSURGERY, LLC

Company Details

Entity Name: NULIFE ORTHOPEDICS & NEUROSURGERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Aug 2022 (2 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 14 Feb 2023 (2 years ago)
Document Number: L22000359527
FEI/EIN Number 88-3810935
Address: 5458 TOWN CENTER ROAD SUITE 104, BOCA RATON, FL 33486
Mail Address: 5458 TOWN CENTER ROAD SUITE 104, BOCA RATON, FL 33486
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023895935 2023-09-13 2023-09-13 5458 TOWN CENTER RD, BOCA RATON, FL, 334861089, US 5458 TOWN CENTER RD, BOCA RATON, FL, 334861089, US

Contacts

Phone +1 561-228-1945
Fax 5617908553
Phone +1 561-228-1941

Authorized person

Name DEBBIE MONTANEZ
Role MANAGER
Phone 9545494102

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
VANDERBROOK, WILLIAM Agent 5458 TOWN CENTER ROAD SUITE 104, BOCA RATON, FL 33486

Manager

Name Role Address
VANDERBROOK, WILLIAM Manager 5458 TOWN CENTER ROAD SUITE 104, BOCA RATON, FL 33486

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2023-02-14 NULIFE ORTHOPEDICS & NEUROSURGERY, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-17
Florida Limited Liability 2022-08-16

Date of last update: 11 Jan 2025

Sources: Florida Department of State