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PENINSULA ORTHOTICS,INC.

Company Details

Entity Name: PENINSULA ORTHOTICS,INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 11 Mar 2010 (15 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: P10000021695
FEI/EIN Number 27-2114310
Address: 11412 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411
Mail Address: 11412 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275906653 2015-11-05 2015-11-05 6131 LAKE WORTH RD, GREENACRES, FL, 334633048, US 6131 LAKE WORTH RD, GREENACRES, FL, 334633048, US

Contacts

Phone +1 561-502-4466

Authorized person

Name MR. BRUCE L NEWMAN
Role OWNER
Phone 5615024466

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number PED56
State FL
Is Primary Yes
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
License Number PED56
State FL
Is Primary No

Agent

Name Role Address
NEWMAN, Bruce L Agent 7112 DAVIT CIRCLE, LAKE WORTH, FL 33467

President

Name Role Address
NEWMAN, BRUCE L President 11412 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-29 7112 DAVIT CIRCLE, LAKE WORTH, FL 33467 No data
CHANGE OF PRINCIPAL ADDRESS 2014-03-12 11412 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 No data
CHANGE OF MAILING ADDRESS 2014-03-12 11412 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 No data
REGISTERED AGENT NAME CHANGED 2013-04-17 NEWMAN, Bruce L No data

Documents

Name Date
ANNUAL REPORT 2015-04-29
ANNUAL REPORT 2014-04-29
ANNUAL REPORT 2013-04-17
ANNUAL REPORT 2012-04-26
ANNUAL REPORT 2011-04-16
Domestic Profit 2010-03-11

Date of last update: 25 Jan 2025

Sources: Florida Department of State