| Entity Name: | ON POINTE ORTHOPAEDICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Nov 2023 (a year ago) |
| Document Number: | L23000447756 |
| FEI/EIN Number | 933654301 |
| Address: | 330 N. Babcock St Suite 103, Melbourne, FL, 32935, US |
| Mail Address: | 330 N. Babcock St Suite #103, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073385431 | 2023-10-27 | 2023-11-21 | PO BOX 53, MELBOURNE, FL, 329020053, US | 330 N BABCOCK ST STE 103, MELBOURNE, FL, 329357324, US | |||||||||||||||||||||||||
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| Phone | +1 321-321-6551 |
| Fax | 3212047064 |
Authorized person
| Name | AZLYN GOFF |
| Role | AUTHORIZED OFFICIAL/ OWNER |
| Phone | 3213216551 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XP3100X - Pediatric Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115356700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOFF AZLYN | Agent | 330 N. Babcock St Suite 103, Melbourne, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| GOFF AZLYN | Manager | 330 N. BABCOCK ST SUITE 103, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-11 | 330 N. Babcock St Suite 103, Melbourne, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-11 | 330 N. Babcock St Suite 103, Melbourne, FL 32935 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-03 | 330 N. Babcock St Suite 103, Melbourne, FL 32935 | No data |
| LC AMENDMENT | 2023-11-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| LC Amendment | 2023-11-02 |
| Florida Limited Liability | 2023-09-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
