| Entity Name: | ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Aug 1995 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Jun 1999 (26 years ago) |
| Document Number: | P95000061494 |
| FEI/EIN Number | 65-0616785 |
| Address: | 2260 NE 123rd Street, MIAMI, FL 33181 |
| Mail Address: | P.O. BOX 546435, Surfside, FL 33154 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912975780 | 2006-03-09 | 2020-08-22 | PO BOX 402125, MIAMI BEACH, FL, 331400125, US | 4701 N MERIDIAN AVE, SUITE 601, MIAMI BEACH, FL, 331402910, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-674-5956 |
Authorized person
| Name | PHILIP RANDALL LOZMAN |
| Role | PRESIDENT |
| Phone | 3056745956 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | ME58688 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PHILIP R. LOZMAN M.D. |
| Number | 1134125461 |
| State | FL |
| Issuer | JERRY S. SHER, M.D. NPI |
| Number | 1659363455 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH 401K PLAN | 2021 | 650616785 | 2022-06-24 | ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-06-24 |
| Name of individual signing | JERRY SHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Sher, Jerry S | Agent | 2260 NE 123rd Street, MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| SHER, JERRY S | Vice President | 2260 NE 123rd Street, MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| SHER, JERRY S | Secretary | 2260 NE 123rd Street, MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| SHER, JERRY S | Director | 2260 NE 123rd Street, MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| Deben, Sophia | Executive Secretary | 2260 NE 123rd Street, Miami, FL 33181 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000027545 | INTERNATIONAL ORTHOPAEDIC SPECIALISTS | ACTIVE | 2021-02-25 | 2026-12-31 | No data | 2260 NE 123RD ST, NORTH MIAMI, FL, 33181 |
| G15000068607 | INTERNATIONAL ORTHOPAEDIC SPECIALISTS | EXPIRED | 2015-07-01 | 2020-12-31 | No data | 2260 NE 123RD STREET, MIAMI, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-06-21 | Sher, Jerry S | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-05 | 2260 NE 123rd Street, MIAMI, FL 33181 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-05 | 2260 NE 123rd Street, MIAMI, FL 33181 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 2260 NE 123rd Street, MIAMI, FL 33181 | No data |
| REINSTATEMENT | 1999-06-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-04 |
| AMENDED ANNUAL REPORT | 2017-06-21 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
