| Name: | Orthotic & Prosthetic Centers, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 19 Oct 1981 (43 years ago) |
| Entity Number: | 000-590-960 |
| Register Number: | 000590960 |
| Branch of: | Orthotic & Prosthetic Centers, Inc., Florida (Company Number F50095) |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Florida |
| Principal Address: | 3611 5th Avenue NorthSt. Petersburg, FL 33713 |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FHABKC9XTNZ3 | 2023-09-26 | 9808 MILLWOOD CIR STE A, DAPHNE, AL, 36527, 5455, USA | 3611 5TH AVENUE NORTH, ST. PETERSBURG, FL, 33713, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | ORTHOTIC & PROSTHETIC CENTER OF DAPHNE |
| URL | www.opcenters.com |
| Division Name | ORTHOTIC & PROSTHETIC CENTER OF DAPHNE |
| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-09-27 |
| Initial Registration Date | 2019-11-18 |
| Entity Start Date | 2019-11-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 423450 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTINA GELAZNIK |
| Role | DIRECTOR OF OPERATIONS & FINANCE |
| Address | 3611 5TH AVE N, ST. PETERSBURG, FL, 33713, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTINA GELAZNIK |
| Role | DIRECTOR OF OPERATIONS & FINANCE |
| Address | 3611 5TH AVE N, ST. PETERSBURG, FL, 33713, USA |
| Title | ALTERNATE POC |
| Name | ALICIA B BRENSEKE |
| Role | MS. |
| Address | 3611 5TH AVE N, ST PETERSBURG, FL, 33713, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629627484 | 2019-09-05 | 2022-11-16 | 3611 5TH AVE N, ST PETERSBURG, FL, 337137503, US | 9808 MILLWOOD CIR STE A, DAPHNE, AL, 365275455, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-327-3332 |
| Fax | 7273277304 |
Authorized person
| Name | CHRISTINA GELAZNIK |
| Role | DIRECTOR OF FINANCE & OPERATIONS |
| Phone | 7274981003 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250827 |
| State | AL |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
