Entity Name: | FEDERAL ORTHOPEDIC SOLUTIONS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 11 Mar 2024 (a year ago) |
Document Number: | L24000121382 |
Address: | 7901 4TH ST N STE 300, ST. PETERSBURG, FL, 33702, US |
Mail Address: | 1400 US HWY 441 N SUITE #906, THE VILLAGES, FL, 32159, US |
ZIP code: | 33702 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447006408 | 2024-04-29 | 2024-04-29 | 1290 WOODS LANDING DR, MINNEOLA, FL, 347156070, US | 1400 N US HIGHWAY 441 STE 906, THE VILLAGES, FL, 321596811, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 727-743-2111 |
Phone | +1 352-234-8340 |
Fax | 8884772586 |
Authorized person
Name | KEVIN KELLIN |
Role | PARTNER |
Phone | 7277432111 |
Taxonomy
Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
Is Primary | Yes |
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | No |
Other Provider Identifiers
Issuer | FLORIDA LICENSE |
Number | PT26872 |
State | FL |
Issuer | FLORIDA LICENSE |
Number | ME99986 |
State | FL |
Name | Role |
---|---|
REGISTERED AGENTS INC | Agent |
Name | Role | Address |
---|---|---|
KELLIN KEVIN | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL, 33702 |
PATEL UTKARSH | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL, 33702 |
TAMEA JUDY | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL, 33702 |
TAMEA CONRAD | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL, 33702 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2024-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State