| Entity Name: | KIDS AND TEENS ORTHOPAEDIC SURGERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Mar 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P06000040789 |
| FEI/EIN Number | 204491924 |
| Address: | 1035 State Road 7, Suite 119, Wellington, FL, 33414, US |
| Mail Address: | P.O. BOX 32367, PALM BEACH GARDENS, FL, 33420, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891737516 | 2006-06-11 | 2012-12-05 | PO BOX 32367, PALM BEACH GARDENS, FL, 334202367, US | 8645 N MILITARY TRL, SUITE 501, WEST PALM BEACH, FL, 334106294, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-906-7680 |
| Fax | 8664052914 |
| Phone | +1 561-691-8050 |
| Fax | 5616229942 |
Authorized person
| Name | DR. AHAMED MOHAIDEEN |
| Role | PRESIDENT |
| Phone | 5619067680 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME 84411 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264003100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOHAIDEEN AHAMED | Agent | 1035 State Road 7, Wellington, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| MOHAIDEEN AHAMED | Chief Executive Officer | 1035 State Road 7, Wellington, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 1035 State Road 7, Suite 119, Wellington, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 1035 State Road 7, Suite 119, Wellington, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-26 | 1035 State Road 7, Suite 119, Wellington, FL 33414 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000140972 | LAPSED | 50 2017 CA 001663 | FIFTEENTH JUDICIAL CIRCUIT | 2017-03-02 | 2022-03-15 | $70,315.95 | 8645 N. MILITARY TRAIL, LLC, 4500 PGA BOULEVARD, SUITE 207, PALM BEACH GARDENS, FL 33418 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-01 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-02-20 |
| ANNUAL REPORT | 2010-03-14 |
| ANNUAL REPORT | 2009-03-26 |
| ANNUAL REPORT | 2008-07-08 |
| ANNUAL REPORT | 2007-02-05 |
| Domestic Profit | 2006-03-21 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
