| Entity Name: | MEDICAL DEVELOPMENT AND SUPPORT CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Jan 1998 (27 years ago) |
| Document Number: | P98000000231 |
| FEI/EIN Number | 59-3484202 |
| Address: | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Mail Address: | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124033972 | 2006-07-30 | 2012-12-11 | 803 S PARSONS AVE, BRANDON, FL, 33511, US | 803 S PARSONS AVE, BRANDON, FL, 33511, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-651-9888 |
| Fax | 8136540362 |
Authorized person
| Name | FABIO F FIORE |
| Role | OWNER |
| Phone | 8136519888 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME0056708 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 053401300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FIORE, FABIO F | Agent | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| FIORE, FABIO F | President | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| FIORE, FABIO F | Secretary | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| FIORE, FABIO F | Treasurer | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| FIORE, FABIO F | Director | 803 S. PARSONS AVE., BRANDON, FL 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000164742 | ORTHOPAEDICS CENTER OF BRANDON | ACTIVE | 2009-10-13 | 2029-12-31 | No data | 1431 JUMANA LOOP, APOLLO BEACH, FL, 33572 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-02 | 803 S. PARSONS AVE., BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2005-05-02 | 803 S. PARSONS AVE., BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-05-02 | 803 S. PARSONS AVE., BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
