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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. - Florida Company Profile

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Company Details

Entity Name: SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Feb 2001 (25 years ago)
Date of dissolution: 31 Jan 2020 (6 years ago)
Last Event: CONVERSION
Event Date Filed: 31 Jan 2020 (6 years ago)
Document Number: P01000014210
FEI/EIN Number 593696338
Address: 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL, 32216, US
Mail Address: 6500 BOWDEN ROAD SUITE 103, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

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

National Provider Identifier

NPI Number:
1992429039
Certification Date:
2022-09-29

Authorized Person:

Name:
BRETT PUCKETT
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593696338
Plan Year:
2018
Number Of Participants:
225
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
293
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
213
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
398
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
197
Sponsors Telephone Number:

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State