| Entity Name: | FLORIDA ORTHOPAEDIC INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Dec 1997 (27 years ago) |
| Document Number: | P97000104374 |
| FEI/EIN Number | 650813612 |
| Address: | 1600 SOUTH FEDERAL HIGHWAY, TENTH FLOOR, POMPANO BEACH, FL, 33062 |
| Mail Address: | 1600 SOUTH FEDERAL HIGHWAY, TENTH FLOOR, POMPANO BEACH, FL, 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740546514 | 2012-04-06 | 2012-04-06 | 7860 SW 129TH TER, PINECREST, FL, 331566154, US | 9000 SW 87TH CT, SUITE 209, MIAMI, FL, 331762231, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-274-3311 |
| Fax | 3052741411 |
Authorized person
| Name | SUSANA VERONICA PEREDA |
| Role | PRESIDENT |
| Phone | 3052743311 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT16622 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| License Number | PT16622 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| License Number | PT16622 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCCRORY J W | Agent | 1512 EAST BROWARD BOULEVARD, FORT LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| LESTRANGE NILE R | Director | 1600 SOUTH FEDERAL HIGHWAY - TENTH FLOOR, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
