| Entity Name: | STAR ORTHOPEDICS AND SPINE OF ORLANDO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | L23000537435 |
| FEI/EIN Number | 99-0631467 |
| Address: | 280 SOUTH STATE ROAD 434, 1049, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 2130 MICHIGAN AVE., PMB 312, KISSIMMEE, FL 34744 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235990540 | 2024-01-23 | 2024-01-23 | 2130 MICHIGAN AVE., PMB 312, KISSIMMEE, FL, 34744, US | 280 S STATE ROAD 434 STE 1049, ALTAMONTE SPRINGS, FL, 327143859, US | |||||||||||||
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| Phone | +1 561-699-6373 |
Authorized person
| Name | HILLARY KOERNER |
| Role | COO |
| Phone | 5616996373 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUPPINGER, JORDAN | Agent | 2130 MICHIGAN AVE., PMB 312, KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| KUPPINGER, JORDAN | Manager | 2130 MICHIGAN AVE. PMB 312, KISSIMMEE, FL 34744 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| Florida Limited Liability | 2023-12-04 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
