| Entity Name: | MACLAREN SPORTS MED INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2006 (19 years ago) |
| Document Number: | P06000067474 |
| FEI/EIN Number | 204873838 |
| Address: | 5850 W. Cypress St, Tampa, FL, 33607, US |
| Mail Address: | 5850 W. Cypress St, Tampa, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508019142 | 2008-10-28 | 2012-01-02 | 18133 PATTERSON RD, ODESSA, FL, 335562214, US | 6918 GUNN HWY, STE C, TAMPA, FL, 336253853, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-496-1075 |
Authorized person
| Name | MALCOLM CHRISTOPHER MACLAREN |
| Role | PRESIDENT |
| Phone | 8134961075 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 207XP3100X - Pediatric Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0106X - Orthopaedic Hand Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0801X - Orthopaedic Trauma Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MACLAREN M CHRISTOPHER | Agent | 5850 W. Cypress St, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| MacLaren M. ChristopherDr. | President | 5850 W. Cypress St, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| MacLaren Catherine R | Vice President | 5850 W. Cypress St, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Bovender Audra HM.S. | Chief Operating Officer | 5850 W. Cypress St, Tampa, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000186109 | WESTCHASE SPORTS MEDICINE | EXPIRED | 2009-12-17 | 2014-12-31 | No data | 12021 W LINEBAUGH AVE, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-29 | 5850 W. Cypress St, STE B, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-29 | 5850 W. Cypress St, STE B, Tampa, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-29 | 5850 W. Cypress St, STE B, Tampa, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-05-03 | MACLAREN, M CHRISTOPHER | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-05-03 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
