| Entity Name: | ORTHOMIAMI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2022 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 May 2023 (2 years ago) |
| Document Number: | L22000428581 |
| FEI/EIN Number | 92-2913249 |
| Address: | 7800 SW 87TH AVENUE, Suite A110, MIAMI, FL, 33173, US |
| Mail Address: | 7800 SW 87TH AVENUE, Suite A110, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376385914 | 2024-06-12 | 2024-06-12 | 3905 NW 107TH AVE STE 403, DORAL, FL, 331782785, US | 3905 NW 107TH AVE STE 403, DORAL, FL, 331782785, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-596-2828 |
| Fax | 3055966446 |
Authorized person
| Name | NICOLE HOMMEN |
| Role | BUSINESS MANAGER |
| Phone | 3055962828 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WEINTRAUB JAMES L | Agent | 931 NW 9TH COURT, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| CEBALLOS CESAR E | Authorized Member | 7800 SW 87TH AVENUE, STE 110, MIAMI, FL, 33173 |
| HOMMEN JAN P | Authorized Member | 7800 SW 87TH AVENUE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-05-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-17 | 7800 SW 87TH AVENUE, Suite A110, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-17 | 7800 SW 87TH AVENUE, Suite A110, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| LC Amendment | 2023-05-26 |
| ANNUAL REPORT | 2023-03-17 |
| Florida Limited Liability | 2022-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
