Search icon

CUSTOM ORTHOPEDIC, INC.

Company Details

Entity Name: CUSTOM ORTHOPEDIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Jul 1997 (28 years ago)
Date of dissolution: 30 Jan 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Jan 2020 (5 years ago)
Document Number: P97000057459
FEI/EIN Number 650763953
Address: 1271 TALLEVAST RD., SARASOTA, FL, 34243
Mail Address: 1271 TALLEVAST RD., SARASOTA, FL, 34243
ZIP code: 34243
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659427870 2007-01-29 2013-06-18 1271 TALLEVAST RD, SARASOTA, FL, 342433268, US 1271 TALLEVAST RD, SARASOTA, FL, 342433268, US

Contacts

Phone +1 941-355-0337
Fax 9413550616

Authorized person

Name MS. CHERYL DEASE
Role PRESIDENT
Phone 9413550337

Taxonomy

Taxonomy Code 222Z00000X - Orthotist
Is Primary Yes

Agent

Name Role Address
DEASE CHERYL R Agent 1271 TALLEVAST RD., SARASOTA, FL, 34243

President

Name Role Address
DEASE CHERYL R President 1271 TALLEVAST RD, SARASOTA, FL, 34243

Secretary

Name Role Address
DEASE CHERYL R Secretary 1271 TALLEVAST RD, SARASOTA, FL, 34243

Treasurer

Name Role Address
DEASE CHERYL R Treasurer 1271 TALLEVAST RD, SARASOTA, FL, 34243

Director

Name Role Address
DEASE CHERYL R Director 1271 TALLEVAST RD, SARASOTA, FL, 34243

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-01-30 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-16 1271 TALLEVAST RD., SARASOTA, FL 34243 No data
CHANGE OF MAILING ADDRESS 2008-01-16 1271 TALLEVAST RD., SARASOTA, FL 34243 No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-16 1271 TALLEVAST RD., SARASOTA, FL 34243 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-01-30
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-01-27
ANNUAL REPORT 2012-01-13
ANNUAL REPORT 2011-01-16

Date of last update: 03 Feb 2025

Sources: Florida Department of State