| Entity Name: | REVIVAL ORTHOPAEDICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
REVIVAL ORTHOPAEDICS, INC. 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: | 01 Jun 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2012 (13 years ago) |
| Document Number: | P05000079322 |
| FEI/EIN Number |
710983304
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1190 NW 95TH STREET, SUITE 305, MIAMI, FL, 33150 |
| Mail Address: | 1190 NW 95TH STREET, SUITE 305, MIAMI, FL, 33150 |
| ZIP code: | 33150 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285837492 | 2007-06-06 | 2008-12-18 | 1190 NW 95TH ST, SUITE 305, MIAMI, FL, 331502063, US | 1190 NW 95TH ST, SUITE 305, MIAMI, FL, 331502063, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-694-9400 |
| Fax | 3056936942 |
Authorized person
| Name | DR. MARK BRIDGES |
| Role | PHYSICIAN |
| Phone | 3056949400 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME91496 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME93941 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274429500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 271502300 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REVIVAL ORTHOPAEDICS INC 401(K) PROFIT SHARING PLAN & TRUST | 2012 | 710983304 | 2013-08-01 | REVIVAL ORTHOPAEDICS | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-08-01 |
| Name of individual signing | MARK BRIDGES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HENRYS RICHARD M | President | 1190 NW 95TH STREET - SUITE 305, MIAMI, FL, 33150 |
| HENRYS RICHARD | Agent | 1190 NW 95TH STREET, MIAMI, FL, 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-09-08 | HENRYS, RICHARD | - |
| REINSTATEMENT | 2012-10-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CANCEL ADM DISS/REV | 2009-10-10 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-23 | 1190 NW 95TH STREET, SUITE 305, MIAMI, FL 33150 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-09-23 | 1190 NW 95TH STREET, SUITE 305, MIAMI, FL 33150 | - |
| CHANGE OF MAILING ADDRESS | 2008-09-23 | 1190 NW 95TH STREET, SUITE 305, MIAMI, FL 33150 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-09-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7220518800 | 2021-04-21 | 0455 | PPS | 1190 NE 95th Sreet suite 305, Miami, FL, 33150 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5075547708 | 2020-05-01 | 0455 | PPP | 1190 NW 95TH ST STE 305, MIAMI, FL, 33150-2066 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
