| Entity Name: | PSL ORTHO SPINE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Aug 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Nov 2024 (2 months ago) |
| Document Number: | P22000062561 |
| FEI/EIN Number | 88-3668882 |
| Address: | 266 NW Peacock Blvd, PORT SAINT LUCIE, FL, 34986, US |
| Mail Address: | 266 NW Peacock Blvd, PORT SAINT LUCIE, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154040640 | 2022-08-26 | 2023-05-11 | 266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL, 349862271, US | 266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL, 349862271, US | |||||||||||||||||||
|
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| Phone | +1 772-262-0852 |
| Fax | 7722454235 |
Authorized person
| Name | LAURA C BEATTY |
| Role | PRACTICE MANAGER |
| Phone | 7722620852 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TOPKIN SANFORD R | Agent | 1166 W NEWPORT CENTER DRIVE, DEERFIELD BEACH, FL, 33442 |
| Name | Role |
|---|---|
| MEDLOGICS LLC | President |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000094915 | APEX ORTHO SPINE | ACTIVE | 2022-08-11 | 2027-12-31 | No data | 10130 NORTHLAKE BLVD, STE 214 BOX 338, WEST PALM BEACH, FL, 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-25 | TOPKIN, SANFORD R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-03 | 266 NW Peacock Blvd, STE 204, PORT SAINT LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-03 | 266 NW Peacock Blvd, STE 204, PORT SAINT LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-25 |
| ANNUAL REPORT | 2023-04-04 |
| Domestic Profit | 2022-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
