| Entity Name: | BLUEWATER ORTHOPEDICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BLUEWATER ORTHOPEDICS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Feb 1994 (31 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 28 Oct 2004 (20 years ago) |
| Document Number: | P94000010759 |
| FEI/EIN Number |
593228032
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL, 32578 |
| Mail Address: | 1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL, 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700119443 | 2009-09-14 | 2017-03-02 | 1950 BLUEWATER BLVD STE 100, NICEVILLE, FL, 325783888, US | 120 E REDSTONE AVE, SUITE B, CRESTVIEW, FL, 325395370, US | |||||||||||||||||||||||||||
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| Phone | +1 850-897-8081 |
| Fax | 8508971520 |
| Phone | +1 850-398-8600 |
Authorized person
| Name | MR. THOMAS FOX |
| Role | PRESIDENT |
| Phone | 8508978081 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 601421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250939303 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FOX THOMAS MDO | President | 1950 BLUEWATER BLVD, NICEVILLE, FL, 32578 |
| MARKOWSKI WILLIAM JMD | Vice President | 1950 BLUEWATER BLVD, NICEVILLE, FL, 32578 |
| Goeke Bradley Dr. | Secretary | 1950 BLUEWATER BLVD, NICEVILLE, FL, 32578 |
| FOX THOMAS | Agent | 1950 BLUEWATER BLVD, NICEVILLE, FL, 32578 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000030972 | BLUEWATER ORTHOPEDICS AND REHABILITATION | ACTIVE | 2017-03-23 | 2027-12-31 | - | 1950 BLUEWATER BLVD., #100, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-03-16 | FOX, THOMAS | - |
| CANCEL ADM DISS/REV | 2004-10-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-10-28 | 1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578 | - |
| CHANGE OF MAILING ADDRESS | 2004-10-28 | 1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-10-28 | 1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| AMENDMENT AND NAME CHANGE | 1995-08-28 | BLUEWATER ORTHOPEDICS, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-28 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
