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  5. SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. - Florida Company Profile

Company Details

Entity Name: SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 07 Feb 2001 (24 years ago)
Date of dissolution: 31 Jan 2020 (5 years ago)
Last Event: CONVERSION
Event Date Filed: 31 Jan 2020 (5 years ago)
Document Number: P01000014210
FEI/EIN Number 593696338

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL, 32216, US
Mail Address: 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992429039 2022-10-03 2022-10-03 6800 SOUTHPOINT PKWY STE 200, JACKSONVILLE, FL, 322166221, US 2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL, 322044717, US

Contacts
Phone +1 904-634-0640

Authorized person
Name BRETT PUCKETT
Role PRESIDENT
Phone 9046340640

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEAST ORTHOPEDIC SPECIALISTS LIFE PLAN 2018 593696338 2019-07-26 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 225
File View Page
Three-digit plan number (PN) 513
Effective date of plan 2017-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing SUSAN NORRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing SUSAN NORRIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC SPECIALISTS DENTAL AND VISION PLAN 2018 593696338 2019-07-29 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 293
File View Page
Three-digit plan number (PN) 516
Effective date of plan 2017-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing SUSAN NORRIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC SPECIALISTS LIFE PLAN 2017 593696338 2018-09-04 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 213
File View Page
Three-digit plan number (PN) 513
Effective date of plan 2017-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing SUSAN NORRIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC SPECIALISTS DENTAL AND VISION PLAN 2017 593696338 2018-09-04 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 398
File View Page
Three-digit plan number (PN) 516
Effective date of plan 2017-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing SUSAN NORRIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC SPECIALISTS HRA PLAN 2016 593696338 2017-08-30 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 197
File View Page
Three-digit plan number (PN) 515
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC SPECIALISTS DENTAL PLAN 2016 593696338 2017-08-30 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. 339
File View Page
Three-digit plan number (PN) 516
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST ORTHOPEDIC VISION PLAN 2016 593696338 2017-08-30 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC 180
File View Page
Three-digit plan number (PN) 514
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 9046340640
Plan sponsor’s mailing address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066
Plan sponsor’s address 6500 BOWDEN RD STE 103, JACKSONVILLE, FL, 322168066

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-30
Name of individual signing GAVAN DUFFY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PUCKETT BRETT President 6500 Bowden Road, JACKSONVILLE, FL, 32216
DONNIE ROMINE Agent 6500 BOWDEN ROAD, SUITE 103, JACKSONVILLE, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000086610 SOUTHEAST ORTHOPEDIC SPECIALISTS EXPIRED 2014-08-22 2019-12-31 - 10475 CENTURION PARKWAY, STE 220, JACKSONVILLE, FL, 32256
G14000076308 HEEKIN CENTER FOR INTEGRATED WELLNESS EXPIRED 2014-07-23 2019-12-31 - 10475 CENTURION PARKWAY N., SUITE 220, JACKSONVILLE, FL, 32256
G13000099186 HEEKIN ORTHOPEDIC SPECIALISTS EXPIRED 2013-10-07 2018-12-31 - 2627 RIVERSIDE AVENUE, SUITE 300, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
CONVERSION 2020-01-31 - CONVERSION MEMBER. RESULTING CORPORATION WAS L20000052914. CONVERSION NUMBER 500000200345
REGISTERED AGENT NAME CHANGED 2017-03-16 DONNIE, ROMINE -
CHANGE OF MAILING ADDRESS 2015-03-30 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL 32216 -
CHANGE OF PRINCIPAL ADDRESS 2015-03-30 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL 32216 -
AMENDMENT AND NAME CHANGE 2015-03-30 SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. -
AMENDMENT 2015-01-22 - -
REGISTERED AGENT ADDRESS CHANGED 2015-01-14 6500 BOWDEN ROAD, SUITE 103, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-04-22
Amendment and Name Change 2015-03-30
Amendment 2015-01-22
Reg. Agent Change 2015-01-14
ANNUAL REPORT 2014-04-15
AMENDED ANNUAL REPORT 2013-10-07

Companies related by officers

PUCKETT BRETT

HOPCO SOUTHEAST SPECIALTY CARE NETWORK, LLC - Active
Florida Limited Liability Co. (2019 )
PRL DEVELOPMENT LLC - Inactive
Florida Limited Liability Co. (2010 - 2011)

DONNIE ROMINE

SOS REH-SR207, LLC - Active
Florida Limited Liability Co. (2022 )

Companies related by address

No other companies in our directory share the same address as SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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