| Entity Name: | PRIME ORTHOPEDICS & REGENERATIVE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Aug 2023 (a year ago) |
| Document Number: | L23000380698 |
| FEI/EIN Number | 932905685 |
| Address: | 4675 Linton Blvd, Delray Beach, FL, 33445, US |
| Mail Address: | 9835 LAKE WORTH RD, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871375816 | 2023-10-16 | 2024-09-24 | 9835 LAKE WORTH RD STE 16-355, LAKE WORTH, FL, 334672300, US | 6274 LINTON BLVD STE 106, DELRAY BEACH, FL, 334846508, US | |||||||||||||||||
|
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| Phone | +1 561-459-4637 |
| Fax | 5618101677 |
| Phone | +1 561-495-8558 |
Authorized person
| Name | DAVID ABBASI |
| Role | PRESIDENT/OWNER |
| Phone | 8472541738 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ABBASI DAVID | Agent | 9835 LAKE WORTH RD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ABBASI DAVID | Manager | 9835 LAKE WORTH RD SUITE 355, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ABBASI CASEY B | Authorized Member | 9835 LAKE WORTH RD SUITE 355, LAKE WORTH, FL, 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000095670 | PRIME ORTHOPEDICS & REGENERATIVE CENTER | ACTIVE | 2023-08-16 | 2028-12-31 | No data | 6274 LINTON BLVD,SUITE 106, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-06 | ABBASI, DAVID | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-15 | 4675 Linton Blvd, Suite 200, Delray Beach, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-11 | 4675 Linton Blvd, Suite 200, Delray Beach, FL 33445 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| Florida Limited Liability | 2023-08-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
