| Entity Name: | ST. PETERSBURG LIMB & BRACE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Apr 1993 (32 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Aug 2024 (6 months ago) |
| Document Number: | P93000030885 |
| FEI/EIN Number | 59-3179387 |
| Address: | 1001 - 37TH ST NO., SUITE B, ST. PETERSBURG, FL 33713 |
| Mail Address: | 1001 - 37TH ST NO., SUITE B, ST. PETERSBURG, FL 33713 |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205968013 | 2007-03-09 | 2013-04-18 | 1001 37TH ST N STE B, ST PETERSBURG, FL, 337136010, US | 1001 37TH ST N STE B, ST PETERSBURG, FL, 337136010, US | |||||||||||||||||||||||||
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| Phone | +1 727-321-3900 |
| Fax | 7273239516 |
Authorized person
| Name | MS. NANCY MCKAY |
| Role | DIRECTOR OF REIMBURSEMENT |
| Phone | 7273213900 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | POR22 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 027598100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOCZ, ANDREW T | Agent | 1001 37TH STREET NORTH, SUITE B, ST PETERSBURG, FL 33713 |
| Name | Role | Address |
|---|---|---|
| HOCZ, ANDREW T | President | 1001 37TH STREET N, STE B, ST. PETERSBURG, FL 33713 |
| Name | Role | Address |
|---|---|---|
| HOCZ, ANDREW T | Director | 1001 37TH STREET N, STE B, ST. PETERSBURG, FL 33713 |
| MARTIN, BRADLEY | Director | 1001 37TH STREET N, STE B, ST. PETERSBURG, FL 33713 |
| Name | Role | Address |
|---|---|---|
| MARTIN, BRADLEY | Vice President | 1001 37TH STREET N, STE B, ST. PETERSBURG, FL 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-08-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-15 | HOCZ, ANDREW T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-25 | 1001 37TH STREET NORTH, SUITE B, ST PETERSBURG, FL 33713 | No data |
| AMENDMENT | 2017-11-15 | No data | No data |
| MERGER | 2009-07-08 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000099709 |
| Name | Date |
|---|---|
| Amendment | 2024-08-15 |
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-25 |
| Amendment | 2017-11-15 |
| ANNUAL REPORT | 2017-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
