| Entity Name: | TAMPA BAY ORTHOPAEDIC DESIGNS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Jan 1996 (29 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 12 Nov 2009 (15 years ago) |
| Document Number: | P96000001110 |
| FEI/EIN Number | 59-3351071 |
| Address: | 812 WEST MARTIN LUTHER KING BLVD., SUITE 100, TAMPA, FL 33603 |
| Mail Address: | 812 WEST MARTIN LUTHER KING BLVD., SUITE 100, TAMPA, FL 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861685083 | 2007-08-21 | 2023-11-27 | 667 S KINGS AVE, BRANDON, FL, 335116048, US | 667 S KINGS AVE, BRANDON, FL, 335114885, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 813-661-9162 |
| Fax | 8136629347 |
Authorized person
| Name | OLAF MICKLE HOLM |
| Role | PRESIDENT |
| Phone | 8136619162 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | POR124 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS OF FL |
| Number | M2713 |
| State | FL |
| Issuer | NPI |
| Number | 1861685083 |
| State | FL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4ZDU0 | Active | U.S./Canada Manufacturer | 2008-02-05 | 2024-07-26 | 2029-07-26 | 2025-07-24 | |||||||||||||||
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| POC | AMY HOLM |
| Phone | +1 813-224-0525 |
| Fax | +1 813-224-0622 |
| Address | 812 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33603 3338, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| HOLM, OLAF M | Agent | 812 WEST DR MARTIN LUTHER KING BLVD, 100, TAMPA, FL 33603 |
| Name | Role | Address |
|---|---|---|
| HOLM, OLAF M | President | 812 WEST MARTIN LUTHER KING BLVD., SUITE 100 TAMPA, FL 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-03-17 | HOLM, OLAF M | No data |
| CANCEL ADM DISS/REV | 2009-11-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-11-06 | 812 WEST MARTIN LUTHER KING BLVD., SUITE 100, TAMPA, FL 33603 | No data |
| REINSTATEMENT | 2001-11-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2001-11-06 | 812 WEST MARTIN LUTHER KING BLVD., SUITE 100, TAMPA, FL 33603 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-05-08 | 812 WEST DR MARTIN LUTHER KING BLVD, 100, TAMPA, FL 33603 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000489070 | ACTIVE | 23-CC-085588 | HILLSBOROUGH COUNTY COURT CLER | 2023-09-20 | 2028-10-16 | $6,359.56 | BLATCHFORD, INC. A DELAWARE CORPORATION, 5975 KENTSHIRE DRIVE, DAYTON OH, 45440 |
| J13000264821 | TERMINATED | 1000000462401 | HILLSBOROU | 2013-01-25 | 2023-01-30 | $ 2,848.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J09000080647 | TERMINATED | 1000000057439 | 018024 001879 | 2007-08-10 | 2029-01-22 | $ 3,361.86 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J09000320019 | TERMINATED | 1000000057439 | 018024 001879 | 2007-08-10 | 2029-01-28 | $ 3,361.86 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-01-12 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | 36C24824P1337 | 2024-04-24 | 2024-07-31 | 2024-07-31 | |||||||||||||||||||||||||
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| Obligated Amount | 11450.99 |
| Current Award Amount | 11450.99 |
| Potential Award Amount | 11450.99 |
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 | TAMPA BAY ORTHOPAEDIC DESIGNS, INC. |
| UEI | ZAHANH5VX2N6 |
| Recipient Address | UNITED STATES, 812 W DR MARTIN LUTHER KING JR BLVD, STE 100, TAMPA, HILLSBOROUGH, FLORIDA, 336033338 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
