| Entity Name: | ORTHOPAEDIC AND SPINE MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Feb 2014 (11 years ago) |
| Document Number: | P14000010707 |
| FEI/EIN Number | 46-4735373 |
| Address: | 7824 Lake Underhill Rd, Suite I, Orlando, FL 32822 |
| Mail Address: | P.O. BOX 420759, KISSIMMEE, FL 34742 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326462417 | 2014-02-10 | 2014-02-10 | 435 W OAK ST, KISSIMMEE, FL, 347416627, US | 435 W OAK ST, KISSIMMEE, FL, 347416627, US | |||||||||||||||||||||||||||
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| Phone | +1 407-530-4734 |
Authorized person
| Name | KEITH MASSI |
| Role | PRESIDENT |
| Phone | 4075304734 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH8833 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | CH8833 |
| State | FL |
| Issuer | NPI |
| Number | 1801022215 |
| Name | Role | Address |
|---|---|---|
| MASSI, KEITH | Agent | 7824 Lake Underhill Rd, Suite I, Orlando, FL 32822 |
| Name | Role | Address |
|---|---|---|
| MASSI, KEITH | President | 7824 Lake Underhill Rd, Suite I Orlando, FL 32822 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000022721 | INJURY AND SPINE MEDICAL GROUP | ACTIVE | 2020-02-20 | 2025-12-31 | No data | PO BOX 420759, KISSIMMEE, FL, 34742 |
| G17000038666 | ORTHOPAEDIC AND SPINE MEDICAL GROUP | EXPIRED | 2017-04-11 | 2022-12-31 | No data | P.O. BOX 420759, KISSIMMEE, FL, 34742 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 7824 Lake Underhill Rd, Suite I, Orlando, FL 32822 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 7824 Lake Underhill Rd, Suite I, Orlando, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-10 | 7824 Lake Underhill Rd, Suite I, Orlando, FL 32822 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-27 |
| AMENDED ANNUAL REPORT | 2015-04-23 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
