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ORTHOTIC & PROSTHETIC CLINIC OF TAMPA, LLC - Florida Company Profile

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Company Details

Entity Name: ORTHOTIC & PROSTHETIC CLINIC OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Jun 2023 (2 years ago)
Document Number: L23000287635
FEI/EIN Number 931922404
Mail Address: 2754 NW 27TH AVE, BOCA RATON, FL, 33434, US
Address: 34760 US Highway 19 N, Palm Harbor, FL, 34684, US
ZIP code: 34684
City: Palm Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DIAZ ABREU RAFAEL A Authorized Member 2754 NW 27TH AVE, BOCA RATON, FL, 33434
JIMENEZ LUBRANO ROBERTO JOSE Authorized Member 2754 NW 27TH AVE, BOCA RATON, FL, 33434
DIAZ ABREU RAFAEL A Agent 2754 NW 27TH AVE, BOCA RATON, FL, 33434

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
RAFAEL DIAZ ABREU
User ID:
P3358400
Trade Name:
ORTHOTIC & PROSTHETIC CLINICS OF AMERICA

Unique Entity ID

Unique Entity ID:
CX82RD2EW611
CAGE Code:
0QGR9
UEI Expiration Date:
2026-01-06

Business Information

Doing Business As:
ORTHOTIC & PROSTHETIC CLINICS OF AMERICA
Activation Date:
2025-01-09
Initial Registration Date:
2024-12-20

Commercial and government entity program

CAGE number:
0QGR9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-09
CAGE Expiration:
2030-01-09
SAM Expiration:
2026-01-06

Contact Information

POC:
RAFAEL A. DIAZ ABREU
Corporate URL:
https://opclinicsamerica.com/

National Provider Identifier

NPI Number:
1497530810
Certification Date:
2024-06-14

Authorized Person:

Name:
MR. RAFAEL AGUSTIN DIAZ ABREU
Role:
OWNER / AMBR
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
8135318385

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000120965 ORTHOTIC & PROSTHETIC CLINICS OF AMERICA ACTIVE 2023-09-29 2028-12-31 - 2754 NW 27TH AVENUE, BOCA RATON, FL, 33434

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-31 34760 US Highway 19 N, Palm Harbor, FL 34684 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
Florida Limited Liability 2023-06-15

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Date of last update: 02 Aug 2025

Sources: Florida Department of State