| Entity Name: | CITRUS ORTHOPAEDIC & JOINT INSTITUTE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CITRUS ORTHOPAEDIC & JOINT INSTITUTE, PA 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Mar 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2021 (4 years ago) |
| Document Number: | P01000026247 |
| FEI/EIN Number |
593693151
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 950 N AVALON WAY, LECANTO, FL, 34461 |
| Mail Address: | PO BOX 1990, CRYSTAL RIVER, FL, 34423 |
| ZIP code: | 34461 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1275668063 | 2007-02-22 | 2015-04-27 | PO BOX 1990, CRYSTAL RIVER, FL, 344231990, US | 950 N AVALON WAY, LECANTO, FL, 344616004, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-746-2663 |
| Fax | 3527466907 |
Authorized person
| Name | DR. ANDREW J PETRELLA |
| Role | OWNER |
| Phone | 3527462663 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME0074278 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME0080012 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO0002716 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT20489 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT8397 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT3425 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA9108675 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA3291 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA9101478 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA3291 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA9101478 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DA2404 |
| State | FL |
| Issuer | MEDICAID |
| Number | 273441900 |
| State | FL |
| Issuer | BCBS FLA |
| Number | 94997 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETRELLA ANDREW J | President | 950 N AVALON WAY, LECANTO, FL, 34461 |
| PETRELLA JENNIFER D | Secretary | 950 N AVALON WAY, LECANTO, FL, 34461 |
| KAUFFMAN STEPHEN C | Treasurer | 950 N AVALON WAY, LECANTO, FL, 34461 |
| Keen Christopher | Vice President | 950 N AVALON WAY, LECANTO, FL, 34461 |
| PETRELLA JENNIFER | Agent | 950 N AVALON WAY, LECANTO, FL, 34461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-10-03 | PETRELLA, JENNIFER | - |
| REINSTATEMENT | 2021-10-03 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REINSTATEMENT | 2014-10-03 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-04 | 950 N AVALON WAY, LECANTO, FL 34461 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-07-03 | 950 N AVALON WAY, LECANTO, FL 34461 | - |
| CHANGE OF MAILING ADDRESS | 2004-01-20 | 950 N AVALON WAY, LECANTO, FL 34461 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-31 |
| REINSTATEMENT | 2021-10-03 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
