| Entity Name: | AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jan 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P08000010465 |
| Address: | 1250 E. HALLANDALE BCH BLVD., SUITE 805, HALLANDALE BCH, FL, 33009 |
| Mail Address: | 1250 E. HALLANDALE BCH BLVD., SUITE 805, HALLANDALE BCH, FL, 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013188507 | 2008-03-12 | 2008-03-12 | 1250 E HALLANDALE BEACH BLVD, SUITE 805, HALLANDALE BEACH, FL, 330094634, US | 1250 E HALLANDALE BEACH BLVD, SUITE 805, HALLANDALE BEACH, FL, 330094634, US | |||||||||||||||||||||
|
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| Phone | +1 866-955-1117 |
| Fax | 9544557933 |
Authorized person
| Name | MR. ANDY CHAUSER |
| Role | ADMINSTRATOR |
| Phone | 8669551117 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 65573 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHAUSER ANDREW | Director | 1250 E. HALLANDALE BCH BLVD., SUITE 805, HALLANDALE BCH, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2008-02-07 | AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT, INC. | No data |
| Name | Date |
|---|---|
| Article of Correction/NC | 2008-02-07 |
| Domestic Profit | 2008-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
