| Entity Name: | MARTIN PROSTHETICS & ORTHOTICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 2004 (21 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: | P04000024518 |
| FEI/EIN Number | 352224439 |
| Address: | 5361 N NOB HILL RD., SUNRISE, FL, 33351 |
| Mail Address: | 5361 N NOB HILL RD., SUNRISE, FL, 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225093032 | 2006-04-18 | 2010-10-26 | 5950 HIGH STREET, NEW PORT RICHEY, FL, 34652, US | 5950 HIGH STREET, NEW PORT RICHEY, FL, 34652, US | |||||||||||||||||||||||||
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| Phone | +1 727-845-1995 |
| Fax | 7278451994 |
Authorized person
| Name | MR. GERALD MARTIN |
| Role | PROSTHEIST ORTHOTIST OWNER |
| Phone | 9547221995 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | POR38 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028204900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN GERALD | Agent | 3631 W COMMERCIAL BLVD, TAMARAC, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| MARTIN GERALD L | President | 3631 W COMMERCIAL BLVD #67, TAMARAC, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-26 | 5361 N NOB HILL RD., SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-26 | 5361 N NOB HILL RD., SUNRISE, FL 33351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-26 | 3631 W COMMERCIAL BLVD, # 67, TAMARAC, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-05-26 |
| Off/Dir Resignation | 2009-05-19 |
| ANNUAL REPORT | 2009-01-23 |
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-02-02 |
| ANNUAL REPORT | 2006-03-03 |
| ANNUAL REPORT | 2005-02-23 |
| Domestic Profit | 2004-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
