| Entity Name: | SYNERGY ORTHOPEDIC INTERVENTIONALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Aug 2024 (5 months ago) |
| Document Number: | L24000349983 |
| FEI/EIN Number | 99-4462775 |
| Address: | 1105 Sumner Street, KISSIMMEE, FL 34741 |
| Mail Address: | 14129 WALCOTT AVE, 208, ORLANDO, FL 32827 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366270563 | 2024-07-22 | 2024-08-15 | PO BOX 1209, LAKE ALFRED, FL, 338501209, US | 1200 N CENTRAL AVE STE 208, KISSIMMEE, FL, 347414440, US | |||||||||||||
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| Phone | +1 407-990-3400 |
Authorized person
| Name | DR. VASCO ALEJANDRO RODRIGUEZ |
| Role | DIRECTOR/CEO |
| Phone | 4079903400 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, VASCO A | Agent | 14129 WALCOTT AVE, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| QUILLIN, COURTNEY | Manager | 14129 WALCOTT AVE, ORLANDO, FL 32827 UN |
| RODRIGUEZ, VASCO A | Manager | 14129 WALCOTT AVE, ORLANDO, FL 32827 UN |
| Name | Role | Address |
|---|---|---|
| PENA, ELSA | Authorized Representative | PO BOX 1209, LAKE ALFRED, FL 33850 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-17 | 1105 Sumner Street, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-09 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
