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ADVANCED ORTHOPEDIC SURGERY & SPORTS MEDICINE INC.

Company Details

Entity Name: ADVANCED ORTHOPEDIC SURGERY & SPORTS MEDICINE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jun 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Oct 2022 (2 years ago)
Document Number: P21000058283
FEI/EIN Number 954861623
Address: 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484, US
Mail Address: 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484, US
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871690354 2006-09-19 2021-11-23 5258 LINTON BLVD., 305, DELRAY BEACH, FL, 33484, US 5258 LINTON BLVD., 305, DELRAY BEACH, FL, 33484, US

Contacts

Phone +1 954-251-6051
Fax 3108247600

Authorized person

Name DR. CHRISTINE KOHLER EKSTRAND
Role SURGEON
Phone 9542516051

Taxonomy

Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
License Number A71116
State CA
Is Primary Yes

Agent

Name Role Address
Ekstrand Christine MD Agent 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484

President

Name Role Address
EKSTRAND CHRISTINE MD President 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484

Secretary

Name Role Address
EKSTRAND CHRISTINE MD Secretary 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484

Treasurer

Name Role Address
EKSTRAND CHRISTINE MD Treasurer 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL, 33484

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-03 No data No data
REGISTERED AGENT NAME CHANGED 2022-10-03 Ekstrand, Christine, MD No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-03 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL 33484 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-08-11 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL 33484 No data
CHANGE OF MAILING ADDRESS 2022-08-11 5258 Linton Blvd, Suite 304, DELRAY BEACH, FL 33484 No data

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-31
REINSTATEMENT 2022-10-03
Domestic Profit 2021-06-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State