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ORTHOCARE EXPRESS LLC

Company Details

Entity Name: ORTHOCARE EXPRESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Jul 2024 (6 months ago)
Document Number: L24000333275
Address: 256 PAYASADA CIR, PONTE VEDRA BEACH, FL 32082
Mail Address: 256 PAYASADA CIR, PONTE VEDRA BEACH, FL 32082
ZIP code: 32082
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457171191 2024-10-16 2024-10-16 1835 EASTWEST PKWY STE 19, FLEMING ISLAND, FL, 320035311, US 1835 EASTWEST PKWY STE 19, FLEMING ISLAND, FL, 320035311, US

Contacts

Phone +1 507-884-9439
Fax 5072618869

Authorized person

Name GUILHERME GUISTI
Role OWNER
Phone 5078849439

Taxonomy

Taxonomy Code 207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary Yes

Agent

Name Role Address
GIUSTI, GUILHERME, DR Agent 256 PAYASADA CIR, PONTE VEDRA BEACH, FL 32082

Director

Name Role Address
GIUSTI, GUILHERME, DR Director 256 PAYASADA CIR, PONTE VEDRA BEACH, FL 32082

Documents

Name Date
Florida Limited Liability 2024-07-29

Date of last update: 07 Jan 2025

Sources: Florida Department of State