ORTHOSPORT, INC.

Company Details

Entity Name:	ORTHOSPORT, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	09 Jul 1998 (27 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	27 Jun 2011 (14 years ago)
Document Number:	P98000060854
FEI/EIN Number	650851735
Address:	5200 S UNIVERSITY DR, SUITE 105, DAVIE, FL, 33328-2002, US
Mail Address:	5200 S UNIVERSITY DR, SUITE 105, DAVIE, FL, 33328-2002, US
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1477832897

2011-08-16

2011-08-30

8371 N MILITARY TRL, #106, WEST PALM BEACH, FL, 334106300, US

Contacts

Phone	+1 561-328-9298
Fax	5613289348

Authorized person

Name	MRS. KERRIE BROOKS
Role	CO OWNER
Phone	5613289298

Taxonomy

Taxonomy Code	302F00000X - Exclusive Provider Organization
License Number	PT19952
State	FL
Is Primary	Yes

Agent

Name	Role	Address
LAYNE HOWARD	Agent	5200 S UNIVERSITY DR, DAVIE, FL, 33328

Director

Name	Role	Address
LAYNE HOWARD	Director	3903 W. LAKE ESTATES DR, DAVIE, FL, 33328
CROUGHWELL NANCY J	Director	5731 CASTLEGATE AVENUE, DAVIE, FL, 33331

Events

Event Type	Filed Date	Value	Description
REINSTATEMENT	2011-06-27	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2010-09-24	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2007-02-02	5200 S UNIVERSITY DR, SUITE 105, DAVIE, FL 33328-2002	No data
CHANGE OF MAILING ADDRESS	2007-02-02	5200 S UNIVERSITY DR, SUITE 105, DAVIE, FL 33328-2002	No data
REGISTERED AGENT ADDRESS CHANGED	2007-02-02	5200 S UNIVERSITY DR, SUITE 105, DAVIE, FL 33328	No data
REGISTERED AGENT NAME CHANGED	2006-01-05	LAYNE, HOWARD	No data

Documents

Name	Date
ANNUAL REPORT	2025-01-28
ANNUAL REPORT	2024-02-05
ANNUAL REPORT	2023-01-30
ANNUAL REPORT	2022-02-04
ANNUAL REPORT	2021-01-14
ANNUAL REPORT	2020-01-15
ANNUAL REPORT	2019-06-13
ANNUAL REPORT	2018-01-16
ANNUAL REPORT	2017-01-23
ANNUAL REPORT	2016-02-20
ANNUAL REPORT	2015-06-11
ANNUAL REPORT	2014-02-05
ANNUAL REPORT	2013-04-09
ANNUAL REPORT	2012-05-04
REINSTATEMENT	2011-06-27
ANNUAL REPORT	2009-04-09
ANNUAL REPORT	2008-04-08
ANNUAL REPORT	2007-02-02
ANNUAL REPORT	2006-01-05
ANNUAL REPORT	2005-04-09

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5922998309

2021-01-26

0455

PPS

5200 S University Dr Ste 105A, Davie, FL, 33328-5316

Loan Status Date	2021-08-17
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	56635
Loan Approval Amount (current)	56635
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	4392
Servicing Lender Name	Centennial Bank
Servicing Lender Address	620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Davie, BROWARD, FL, 33328-5316
Project Congressional District	FL-25
Number of Employees	7
NAICS code	621340
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	4392
Originating Lender Name	Centennial Bank
Originating Lender Address	CONWAY, AR
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	56891.02
Forgiveness Paid Date	2021-07-14

7602457206

2020-04-28

0455

PPP

5200 S UNIVERSITY DR, DAVIE, FL, 33328-5316

Loan Status Date	2021-05-15
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	56352.5
Loan Approval Amount (current)	56352.5
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	4392
Servicing Lender Name	Centennial Bank
Servicing Lender Address	620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Unanswered
Project Address	DAVIE, BROWARD, FL, 33328-5316
Project Congressional District	FL-25
Number of Employees	7
NAICS code	621340
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	4392
Originating Lender Name	Centennial Bank
Originating Lender Address	CONWAY, AR
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	56866.62
Forgiveness Paid Date	2021-04-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State