| Entity Name: | USA SPORTS MEDICINE BOCA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Sep 2022 (2 years ago) |
| Document Number: | L22000387277 |
| FEI/EIN Number | 92-0473361 |
| Address: | 6201 N FEDERAL HWY, BOCA RATON, FL 33487 |
| Mail Address: | 21150 Biscayne Blvd, Suite #406, Aventura, FL 33180 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275217143 | 2023-06-12 | 2023-12-15 | 6201 N FEDERAL HWY, BOCA RATON, FL, 334873200, US | 6201 N FEDERAL HWY, BOCA RATON, FL, 334873200, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-245-8103 |
Authorized person
| Name | MATTHEW COOPER |
| Role | OWNER |
| Phone | 3059359599 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COOPER, MATTHEW | Agent | 13300 KEYSTONE TERRACE, MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| COOPER, MATTHEW | Authorized Member | 13300 KEYSTONE TERRACE, MIAMI, FL 33181 |
| MILLS, KEVIN | Authorized Member | 7901 HISPANOLA AVE APT 903, N BAY VILLAGE, FL 33141 |
| USA SPORTS MEDICINE PARENT COMPANY LLC | Authorized Member | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000068639 | USA SPORTS MEDICINE | ACTIVE | 2024-05-31 | 2029-12-31 | No data | 21150 BISCAYNE BLVD, SUITE #406, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-14 | 6201 N FEDERAL HWY, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-30 |
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-04-10 |
| Florida Limited Liability | 2022-09-08 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
