| Entity Name: | EASTERN SHORES ORTHOPEDIC BRACE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jun 2000 (25 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P00000060084 |
| FEI/EIN Number | 593655759 |
| Address: | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Mail Address: | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| ZIP code: | 32169 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114013281 | 2006-10-05 | 2020-08-22 | 533 N NOVA ROAD, SUITE 104A, ORMOND BEACH, FL, 32174, US | 533 N NOVA ROAD, SUITE 104, ORMOND BEACH, FL, 32174, US | |||||||||||||||||||||||
|
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| Phone | +1 386-427-5649 |
| Fax | 3864279018 |
Authorized person
| Name | MRS. MARY M MCDADE |
| Role | OWNER |
| Phone | 3864275649 |
Taxonomy
| Taxonomy Code | 222Z00000X - Orthotist |
| License Number | ORT47 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | M2556 |
| Name | Role | Address |
|---|---|---|
| MCDADE MARY M | Agent | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| MCDADE MARY M | President | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| MCDADE ABBIE J | Vice President | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| MCDADE ROBERT E | Secretary | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| MCDADE ROBERT E | Treasurer | 96 HEATHER POINT COURT, NEW SMYRNA BEACH, FL, 32169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-30 |
| ANNUAL REPORT | 2004-04-22 |
| ANNUAL REPORT | 2003-04-16 |
| ANNUAL REPORT | 2002-04-11 |
| ANNUAL REPORT | 2001-04-23 |
| Domestic Profit | 2000-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
