| Entity Name: | SPECULARIS MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Dec 2023 (a year ago) |
| Document Number: | P24000000821 |
| FEI/EIN Number | 99-0610150 |
| Address: | 2467 GRATIA PL, CASSELBERRY, FL 32707-2420 |
| Mail Address: | PO BOX 728, MANCHESTER, MO 63021 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508601667 | 2024-06-28 | 2024-06-28 | PO BOX 728, MANCHESTER, MO, 630111028, US | 2467 GRATIA PL, CASSELBERRY, FL, 327072420, US | |||||||||||||
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| Phone | +1 314-717-3436 |
Authorized person
| Name | ASHLIE OTT |
| Role | VP CLAIMS OPERATIONS |
| Phone | 3147173436 |
Taxonomy
| Taxonomy Code | 1744P3200X - Prosthetics Case Management |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON, DAVID L | Agent | 2467 GRATIA PLACE, CASSELBERRY, FL 32707 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, DAVID L | Vice President | 2467 GRATIA PLACE, CASSELBERRY, FL 32707 |
| OTT, ASHLIE | Vice President | 613 BIG BEND RD #728, MANCHESTER, MO 63021 |
| FERRARO, MICHAEL | Vice President | 613 BIG BEND RD #728, MANCHESTER, MO 63021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 2467 GRATIA PL, CASSELBERRY, FL 32707-2420 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Domestic Profit | 2023-12-28 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
