| Entity Name: | ORLANDO SPORTS MEDICINE GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 May 2002 (23 years ago) |
| Document Number: | P02000050308 |
| FEI/EIN Number | 352170400 |
| Address: | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL, 32828 |
| Mail Address: | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL, 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093061673 | 2012-08-01 | 2012-08-01 | 12780 WATERFORD LAKES PKWY, STE 115, ORLANDO, FL, 328284500, US | 12780 WATERFORD LAKES PKWY, STE 115, ORLANDO, FL, 328284500, US | |||||||||||||||||||
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| Phone | +1 407-207-7188 |
| Fax | 4072077103 |
Authorized person
| Name | KIMARY FOSS |
| Role | OFFICE MANAGER |
| Phone | 4073327816 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT27565 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREENO ERIC D | Agent | 12780 WATERFORD LAKES PARKWAY, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| GREENO ERIC D | Director | 4520 FONTANA STREET, ORLANDO, FL, 32807 |
| BIAGGI WILLIAM | Director | 9815 BRODBECK BLVD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| GREENO ERIC D | President | 4520 FONTANA STREET, ORLANDO, FL, 32807 |
| BIAGGI WILLIAM | President | 9815 BRODBECK BLVD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| GREENO ERIC D | Secretary | 4520 FONTANA STREET, ORLANDO, FL, 32807 |
| Name | Role | Address |
|---|---|---|
| BIAGGI WILLIAM | Vice President | 9815 BRODBECK BLVD, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| BIAGGI WILLIAM | Treasurer | 9815 BRODBECK BLVD, ORLANDO, FL, 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000010381 | ORLANDO SPORTS MEDICINE | ACTIVE | 2016-01-28 | 2026-12-31 | No data | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-27 | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL 32828 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-27 | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL 32828 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-27 | 12780 WATERFORD LAKES PARKWAY, SUITE 115, ORLANDO, FL 32828 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
