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ORTHO SPORT & SPINE PHYSICIANS OF FLORIDA, LLC - Florida Company Profile

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Company Details

Entity Name: ORTHO SPORT & SPINE PHYSICIANS OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Oct 2022 (3 years ago)
Document Number: L22000432753
FEI/EIN Number 88-4168764
Address: 4131 S. UNIVERSITY BLVD., SUITE 15, JACKSONVILLE, FL, 32216
Mail Address: 5788 ROSWELL ROAD, ATLANTA, GA, 30328
ZIP code: 32216
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
OSKOUEI ARMIN Manager 5788 ROSWELL ROAD, ATLANTA, GA, 30328

National Provider Identifier

NPI Number:
1821706821
Certification Date:
2022-11-08

Authorized Person:

Name:
FAITH BELTZHOOVER
Role:
REVENUE CYCLE MANAGEMENT DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-21
Florida Limited Liability 2022-10-06

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Date of last update: 02 Aug 2025

Sources: Florida Department of State