| Entity Name: | ORTHO DESIGN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 May 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P03000057196 |
| FEI/EIN Number | 32-0078499 |
| Mail Address: | P.O. BOX 15187, PLANTATION, FL 33318 |
| Address: | 447 N.W. 73 AVENUE, PLANTATION, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700995198 | 2006-08-30 | 2009-08-24 | 447 NW 73RD AVE, PLANTATION, FL, 333171608, US | 447 NW 73RD AVE, PLANTATION, FL, 333171608, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-797-0181 |
| Fax | 9547970332 |
Authorized person
| Name | MR. PETER MICHAEL BUKACHESKI |
| Role | OWNER |
| Phone | 9547970181 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | ORT11 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032336500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HIBNER, ROBERT C | Agent | 13100 SW 80TH AVENUE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| BUKACHESKI, PETER | Director | 8320 SW 96TH STREET, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| BUKACHESKI, PETER | President | 8320 SW 96TH STREET, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-14 | 447 N.W. 73 AVENUE, PLANTATION, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-14 | HIBNER, ROBERT C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-14 | 13100 SW 80TH AVENUE, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2006-07-06 | 447 N.W. 73 AVENUE, PLANTATION, FL 33317 | No data |
| NAME CHANGE AMENDMENT | 2004-08-31 | ORTHO DESIGN, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001186130 | LAPSED | 1000000434834 | MIAMI-DADE | 2013-06-25 | 2023-07-17 | $ 534.55 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J07000187933 | TERMINATED | 1000000052064 | 44179 1285 | 2007-06-13 | 2027-06-20 | $ 2,609.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-15 |
| ANNUAL REPORT | 2009-01-14 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-07-11 |
| ANNUAL REPORT | 2006-07-06 |
| ANNUAL REPORT | 2005-01-04 |
| Name Change | 2004-08-31 |
| ANNUAL REPORT | 2004-07-12 |
| Domestic Profit | 2003-05-22 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
