| Entity Name: | CLEARWATER ORTHOPEDIC AND SPORTS MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Aug 1996 (28 years ago) |
| Document Number: | P96000066238 |
| FEI/EIN Number | 593389878 |
| Address: | 701 N. HERCULES AVE #A, CLEARWATER, FL, 33765 |
| Mail Address: | 701 N. HERCULES AVE #A, CLEARWATER, FL, 33765 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306041421 | 2007-06-19 | 2008-02-22 | 701 N HERCULES AVE STE A, CLEARWATER, FL, 337652029, US | 701 N HERCULES AVE STE A, CLEARWATER, FL, 337652029, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-562-9317 |
Authorized person
| Name | DR. JOHN NICHOLAS HARKER |
| Role | PRESIDENT |
| Phone | 7275629317 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | OS0006819 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTUKOVICH MARK | Agent | 2641 McCormick Dr, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| HARKER JOHN N | President | 701 N. HERCULES AVE #A, CLEARWATER, FL, 33765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-13 | 2641 McCormick Dr, SUITE 103, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-10 | MARTUKOVICH, MARK | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-08-06 | 701 N. HERCULES AVE #A, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2007-08-06 | 701 N. HERCULES AVE #A, CLEARWATER, FL 33765 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
