| Entity Name: | TOTAL ORTHOPAEDIC CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 1995 (30 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 21 Feb 1995 (30 years ago) |
| Document Number: | P95000013090 |
| FEI/EIN Number | 65-0557162 |
| Address: | 4850 W. OAKLAND PARK BLVD., SUITE 201, LAUDERDALE LAKES, FL 33313 |
| Mail Address: | 4850 W. OAKLAND PARK BLVD., SUITE 201, LAUDERDALE LAKES, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861708570 | 2010-08-19 | 2023-11-08 | 4850 W OAKLAND PARK BLVD, SUITE 201, LAUDERDALE LAKES, FL, 333137260, US | 10794 PINES BLVD, SUITE 104, PEMBROKE PINES, FL, 330263920, US | |||||||||||||||||||
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| Phone | +1 954-735-3535 |
Authorized person
| Name | DEBRA BILODEAU |
| Role | CEO |
| Phone | 9547353535 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374173700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Green, Mitchell F, Esq. | Agent | 4000 Hollywood Blvd., Suite 485S, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| FEANNY, MICHAEL P M.D., . | President | 4850 W OAKLAND PARK BLVD,SUITE 201, LAUDERDALE LAKES, FL 33313 |
| Name | Role | Address |
|---|---|---|
| SHEIKH, BABAK MD | Vice President | 4850 W. OAKLAND PARK BLVD.,SUITE 201, LAUDERDALE LAKES, FL 33313 |
| Name | Role | Address |
|---|---|---|
| HAJIANPOUR, M.A MD | Secretary | 4850 W. OAKLAND PARK BLVD.,SUITE 201, LAUDERDALE LAKES, FL 33313 |
| Name | Role | Address |
|---|---|---|
| BERKOWITZ, MARIO M M.D. | Treasurer | 4850 W OAKLAND PARK BLVD #201, LAUDERDALE LAKES, FL 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 4000 Hollywood Blvd., Suite 485S, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-14 | Green, Mitchell F, Esq. | No data |
| NAME CHANGE AMENDMENT | 1995-02-21 | TOTAL ORTHOPAEDIC CARE, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| AMENDED ANNUAL REPORT | 2023-04-25 |
| AMENDED ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
