| Entity Name: | PALM BEACH JOINT REPLACEMENT, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Sep 2023 (a year ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 06 Oct 2023 (a year ago) |
| Document Number: | L23000435453 |
| FEI/EIN Number | 933791191 |
| Address: | 108 Intracoastal Pointe Dr., JUPITER, FL, 33477, US |
| Mail Address: | 108 Intracoastal Pointe Dr., JUPITER, FL, 33477, US |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396517355 | 2023-10-24 | 2024-03-25 | 108 INTRACOASTAL POINTE DR STE 200, JUPITER, FL, 334775036, US | 108 INTRACOASTAL POINTE DR STE 200, JUPITER, FL, 334775036, US | |||||||||||||||||||
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| Phone | +1 561-900-7124 |
| Fax | 5613306606 |
Authorized person
| Name | VINCENT FOWBLE |
| Role | OWNER |
| Phone | 5613104563 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COMITER, SINGER, BASCMAN & BRAUN, LLP | Agent | 3825 PGA BLVD, SUITE 701, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| FOWBLE VINCENT A | Manager | 108 INTRACOASTAL POINTE DR., SUITE 200, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 108 Intracoastal Pointe Dr., ste 200, JUPITER, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 108 Intracoastal Pointe Dr., ste 200, JUPITER, FL 33477 | No data |
| LC AMENDMENT AND NAME CHANGE | 2023-10-06 | PALM BEACH JOINT REPLACEMENT, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| LC Amendment and Name Change | 2023-10-06 |
| Florida Limited Liability | 2023-09-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
