| Entity Name: | CHILDREN'S ORTHOPAEDIC INSTITUTE OF NORTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 May 2019 (6 years ago) |
| Document Number: | M19000004513 |
| FEI/EIN Number | 83-4328379 |
| Address: | 4700 Bayou Blvd., Pensacola, FL, 32503, US |
| Mail Address: | PO BOX 6007, PENSACOLA, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609431493 | 2019-05-07 | 2019-06-20 | 1910 E BLOUNT ST, PENSACOLA, FL, 325036126, US | 710 HOSPITAL DR, CRESTVIEW, FL, 325397380, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-356-2467 |
Authorized person
| Name | DR. ROBERT PO-CHEN HUANG |
| Role | MEDICAL DIRECTOR |
| Phone | 8503562467 |
Taxonomy
| Taxonomy Code | 207XP3100X - Pediatric Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUANG ROBERT PMD | Agent | 1910 E. BLOUNT ST., PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| HUANG ROBERT P | Member | 1910 E. BLOUNT ST., PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| HUANG KAREN E | Manager | 1910 E. BLOUNT ST., PENSACOLA, FL, 32503 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000135550 | THE BODY INSTITUTE OF NORTHWEST FLORIDA | ACTIVE | 2024-11-05 | 2029-12-31 | No data | 1910 E BLOUNT ST., BUILDING 1C, PENSACOLA, FL, 32503 |
| G21000085524 | ORTHOPAEDIC INSTITUTE OF NORTHWEST FLORIDA | ACTIVE | 2021-06-28 | 2026-12-31 | No data | 4700 BAYOU BLVD., BUILDING 1C, PENSACOLA, FL, 32503 |
| G21000078807 | CHILDREN'S ORTHOPAEDIC CENTER | ACTIVE | 2021-06-12 | 2026-12-31 | No data | 4700 BAYOU BLVD., BUILDING 1C, PENSACOLA, FL, 32503 |
| G21000075345 | ORTHOPAEDIC SPINE INSTITUTE OF NORTHWEST FLORIDA | ACTIVE | 2021-06-04 | 2026-12-31 | No data | 4700 BAYOU BLVD., BUILDING 1C, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-31 | 4700 Bayou Blvd., Building 1C, Pensacola, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2019-09-23 | 4700 Bayou Blvd., Building 1C, Pensacola, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-01-31 |
| Foreign Limited | 2019-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
