| Entity Name: | DOVETAIL ORTHOPEDICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Aug 2022 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 09 Dec 2022 (2 years ago) |
| Document Number: | L22000370278 |
| FEI/EIN Number | 88-3888583 |
| Address: | 2416 LYNNDALE ROAD, SUITE 102, FERNANDINA BEACH, FL 32034 |
| Mail Address: | 2416 LYNNDALE ROAD, SUITE 102, FERNANDINA BEACH, FL 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336920016 | 2023-10-10 | 2023-10-10 | 2416 LYNNDALE RD STE 102, FERNANDINA BEACH, FL, 320345201, US | 2416 LYNNDALE RD STE 102, FERNANDINA BEACH, FL, 320345201, US | |||||||||||||||
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| Phone | +1 904-430-7132 |
| Fax | 9046011512 |
Authorized person
| Name | DR. ROBERT D. SANTROCK |
| Role | OWNER |
| Phone | 3042167960 |
Taxonomy
| Taxonomy Code | 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SHANDON ENTERPRISES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SANTROCK, ROBERT D | Manager | 493 CROSSWIND DRIVE, FERNANDINA BEACH, FL 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-05 | 2416 LYNNDALE ROAD, SUITE 102, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-05 | 2416 LYNNDALE ROAD, SUITE 102, FERNANDINA BEACH, FL 32034 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-12-09 | DOVETAIL ORTHOPEDICS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-03 |
| AMENDED ANNUAL REPORT | 2023-09-05 |
| ANNUAL REPORT | 2023-02-16 |
| LC Amendment and Name Change | 2022-12-09 |
| Florida Limited Liability | 2022-08-24 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
