| Entity Name: | ARTHRITIS & JOINT CENTER OF FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Nov 1999 (25 years ago) |
| Document Number: | L99000007398 |
| FEI/EIN Number | 593618814 |
| Address: | 2328 MEDICO LN, MELBOURNE, FL, 32940, US |
| Mail Address: | 2328 MEDICO LN, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194826255 | 2006-09-25 | 2015-07-17 | 2328 MEDICO LN, MELBOURNE, FL, 329407406, US | 2328 MEDICO LN, MELBOURNE, FL, 329407406, US | |||||||||||||||||||||||
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| Phone | +1 321-956-1501 |
| Fax | 3219561502 |
Authorized person
| Name | DR. DANIEL L. KING |
| Role | PRESIDENT |
| Phone | 3219561501 |
Taxonomy
| Taxonomy Code | 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | CJ4802 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FALLACE JAMES H | Agent | FALLACE & ASSOCIATES, P.A., MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| KING DANIEL L | Managing Member | 2328 MEDICO LN, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-09 | 2328 MEDICO LN, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-09 | 2328 MEDICO LN, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
