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SUNCOAST ORTHOPAEDIC SURGERY & SPORTS MEDICINE, P.A.

Company Details

Entity Name: SUNCOAST ORTHOPAEDIC SURGERY & SPORTS MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jun 1999 (26 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 10 Oct 2002 (22 years ago)
Document Number: P99000051694
FEI/EIN Number 650927444
Address: 3030 Executive Drive, Venice, FL, 34292, US
Mail Address: 3030 Executive Drive, Venice, FL, 34292, US
ZIP code: 34292
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982638730 2006-07-10 2024-07-16 3030 EXECUTIVE DR, VENICE, FL, 342922613, US 3030 EXECUTIVE DR, VENICE, FL, 342922613, US

Contacts

Phone +1 941-485-1505
Fax 9414924065

Authorized person

Name DR. JOSEPH NOAH
Role OWNER/PRESIDENT
Phone 9414851505

Taxonomy

Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary Yes

Agent

Name Role Address
NOAH JOSEPH Dr. Agent 3030 Executive Drive, Venice, FL 34292, FL, 34292

President

Name Role Address
NOAH JOSEPH MD President 3030 Executive Drive, Venice, FL, 34292

Treasurer

Name Role Address
WITKOWSKI EDMUND GMD Treasurer 3030 Executive Drive, Venice, FL, 34292

Manager

Name Role Address
CUFF DEREK JMD Manager 3030 Executive Drive, Venice, FL, 34292

Secretary

Name Role Address
Chan David JMD Secretary 3030 Executive Drive, Venice, FL, 34292

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000083688 SUNCOAST ORTHOPAEDIC INSTITUTE ACTIVE 2022-07-14 2027-12-31 No data 836 SUNSET LAKE BLVD, SUITE A-205, VENICE, FL, 34292

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-19 3030 Executive Drive, Venice, FL 34292 No data
CHANGE OF MAILING ADDRESS 2024-02-19 3030 Executive Drive, Venice, FL 34292 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-19 3030 Executive Drive, Venice, FL 34292, FL 34292 No data
REGISTERED AGENT NAME CHANGED 2013-04-23 NOAH , JOSEPH, Dr. No data
NAME CHANGE AMENDMENT 2002-10-10 SUNCOAST ORTHOPAEDIC SURGERY & SPORTS MEDICINE, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-12
ANNUAL REPORT 2015-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State