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  5. MOBILE PROSTHETICS & ORTHOTICS, INC.

MOBILE PROSTHETICS & ORTHOTICS, INC.

Company Details

Entity Name: MOBILE PROSTHETICS & ORTHOTICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Feb 1994 (31 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 21 Oct 2009 (15 years ago)
Document Number: P94000013468
FEI/EIN Number 593232766
Address: 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL, 32806, US
Mail Address: 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL, 32806, US
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073030623 2017-08-24 2021-02-23 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, FL, 328068557, US 4809 MEMORIAL HWY STE 100, TAMPA, FL, 336347515, US

Contacts
Phone +1 407-245-7770
Fax 4072457727
Phone +1 386-245-7770

Authorized person
Name MS. STEPHANIE KINGSTON
Role COO
Phone 4072457770

Taxonomy
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 001590300
State FL

Agent

Name Role Address
KINGSTON STEPHANIE A Agent 3160 SOUTHGATE COMMERCE BLVD, ORLANDO, FL, 32806

President

Name Role Address
PATTERSON WILLIAM S President 3160 SOUTHGATE COMMERCE BLVD, STE 38, ORLANDO, FL, 32806

Chief Executive Officer

Name Role Address
PATTERSON WILLIAM S Chief Executive Officer 3160 SOUTHGATE COMMERCE BLVD, STE 38, ORLANDO, FL, 32806

Secretary

Name Role Address
KINGSTON STEPHANIE A Secretary 3160 SOUTHGATE COMMERCE BLVD, STE 38, ORLANDO, FL, 32806

Chief Operating Officer

Name Role Address
KINGSTON STEPHANIE A Chief Operating Officer 3160 SOUTHGATE COMMERCE BLVD, STE 38, ORLANDO, FL, 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000032427 PROSTHETIC & ORTHOTIC ASSOCIATES ACTIVE 2024-03-02 2029-12-31 No data 3160 SOUTHGATE COMMERCE BLVD, STE 38, ORLANDO, FL, 32806
G12000033988 PROSTHETIC & ORTHOTIC ASSOCAITES EXPIRED 2012-04-09 2017-12-31 No data 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-04-12 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL 32806 No data
CHANGE OF MAILING ADDRESS 2012-04-12 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL 32806 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-12 3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL 32806 No data
CANCEL ADM DISS/REV 2009-10-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2001-03-26 KINGSTON, STEPHANIE A No data

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-06-20
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-01-20

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C24825P0356 2024-12-03 2025-01-31 2025-02-28
Unique Award Key CONT_AWD_36C24825P0356_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 11132.33
Current Award Amount 11132.33
Potential Award Amount 11132.33

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24825P0311 2024-11-20 2024-11-30 2024-12-31
Unique Award Key CONT_AWD_36C24825P0311_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 78209.37
Current Award Amount 78209.37
Potential Award Amount 78209.37

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24825P0308 2024-11-20 2024-11-30 2024-12-31
Unique Award Key CONT_AWD_36C24825P0308_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 78209.37
Current Award Amount 78209.37
Potential Award Amount 78209.37

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24825P0253 2024-11-13 2024-12-31 2024-12-31
Unique Award Key CONT_AWD_36C24825P0253_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 117430.63
Current Award Amount 117430.63
Potential Award Amount 117430.63

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24825P0207 2024-11-05 2024-12-05 2025-01-06
Unique Award Key CONT_AWD_36C24825P0207_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 30615.48
Current Award Amount 30615.48
Potential Award Amount 30615.48

Description
Title PROSTHESIS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24824P1943 2024-07-15 2024-08-15 2024-09-16
Unique Award Key CONT_AWD_36C24824P1943_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 15701.98
Current Award Amount 15701.98
Potential Award Amount 15701.98

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24824P1915 2024-07-10 2024-08-09 2024-09-09
Unique Award Key CONT_AWD_36C24824P1915_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 21574.16
Current Award Amount 21574.16
Potential Award Amount 21574.16

Description
Title LIMB PROSTHESIS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24824P1837 2024-06-28 2024-07-29 2024-08-28
Unique Award Key CONT_AWD_36C24824P1837_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 13802.45
Current Award Amount 13802.45
Potential Award Amount 13802.45

Description
Title PROSTHESIS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24824P1425 2024-05-02 2024-10-28 2024-11-27
Unique Award Key CONT_AWD_36C24824P1425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Current Award Amount 0.00
Potential Award Amount 0.00

Description
Title PROSTHESIS ORTHER
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557
PURCHASE ORDER AWARD 36C24924P1077 2024-04-17 2024-06-30 2024-07-30
Unique Award Key CONT_AWD_36C24924P1077_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 10735.96
Current Award Amount 10735.96
Potential Award Amount 10735.96

Description
Title BELOW KNEE MOLD SOCKET WITH PRO FOOT PROSTHESIS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MOBILE PROSTHETICS & ORTHOTICS, INC
UEI SCE2D61V3VZ9
Recipient Address UNITED STATES, 3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, ORANGE, FLORIDA, 328068557

Related by officers

PATTERSON WILLIAM S

BRANSCOME INC. ENIGMA RESOLUTIONS LLC PROSTHETIC AND ORTHOTIC ASSOCIATES OF CENTRAL FLORIDA, INC. VACUITY, INC. WILLIAM SCOTT PATTERSON, ATTORNEY AT LAW, A PROFESSIONAL CORPORATION BILL PATTERSON LLC

KINGSTON STEPHANIE A

KNEAD TO BE FIT, INC. PROSTHETIC AND ORTHOTIC ASSOCIATES OF CENTRAL FLORIDA, INC. VACUITY, INC.

Related by address

3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL, 32806, US

ORLANDO CRYO CRIB LLC

3160 SOUTHGATE COMMERCE BLVD, SUITE 38, ORLANDO, FL, 32806, US

ORLANDO CRYO CRIB LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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