| Entity Name: | SPACE COAST PROSTHETICS AND ORTHOTICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Mar 2015 (10 years ago) |
| Date of dissolution: | 29 Apr 2024 (9 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2024 (9 months ago) |
| Document Number: | P15000022058 |
| FEI/EIN Number | 47-3375440 |
| Address: | 590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955, US |
| Mail Address: | 590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955, US |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649664251 | 2015-03-20 | 2021-09-17 | 590 SOLUTIONS WAY STE 100, ROCKLEDGE, FL, 329553623, US | 590 SOLUTIONS WAY STE 100, ROCKLEDGE, FL, 329553623, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 321-877-4732 |
| Fax | 3218774735 |
Authorized person
| Name | MR. MICHAEL PONO MCDOWELL |
| Role | VICE PRESIDENT/CO-OWNER |
| Phone | 3218774732 |
Taxonomy
| Taxonomy Code | 222Z00000X - Orthotist |
| License Number | POR 134 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 224P00000X - Prosthetist |
| License Number | POR 134 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 15382200 |
| State | FL |
| Name | Role |
|---|---|
| ARCADIER, BIGGIE, AND WOOD, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MCDOWELL MARCIA | President | 590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| MCDOWELL MICHAEL | Vice President | 590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| MCDOWELL MARCIA | Secretary | 590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-23 | Arcadier, Biggie and, Wood, PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-03 | 590 SOLUTIONS WAY, SUITE 100, ROCKLEDGE, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-03 | 590 SOLUTIONS WAY, SUITE 100, ROCKLEDGE, FL 32955 | No data |
| ARTICLES OF CORRECTION | 2015-03-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-21 |
| Articles of Correction | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
