| Entity Name: | ALLAN W. ROTHSCHILD, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 May 1979 (46 years ago) |
| Date of dissolution: | 26 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Apr 2017 (8 years ago) |
| Document Number: | 622094 |
| FEI/EIN Number | 59-1914162 |
| Address: | 1022 MAIN STREET, SUITE L, DUNEDIN, FL 34698 |
| Mail Address: | 1022 MAIN STREET, SUITE L, DUNEDIN, FL 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1487976684 | 2010-02-16 | 2015-06-24 | 1022 MAIN ST, SUITE L, DUNEDIN, FL, 346985238, US | 1022 MAIN ST, SUITE L, DUNEDIN, FL, 346985238, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-734-5575 |
| Fax | 7277334147 |
Authorized person
| Name | DR. ALLAN WARREN ROTHSCHILD |
| Role | PRESIDENT/PODIATRIST |
| Phone | 7277345575 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 213EP0504X - Public Medicine Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ER0200X - Radiology Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0000X - Sports Medicine Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO 472 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 041100100 |
| State | FL |
| Issuer | DME PROVIDER # |
| Number | 087542001 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 480486064 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROTHSCHILD, ALLAN W | Agent | 1022 MAIN ST STE L, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| ROTHSCHILD, ALLAN W | President | 1022 MAIN ST STE L, DUNEDIN, FL 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-15 | 1022 MAIN STREET, SUITE L, DUNEDIN, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2004-01-15 | 1022 MAIN STREET, SUITE L, DUNEDIN, FL 34698 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-06-23 | 1022 MAIN ST STE L, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-02 |
| ANNUAL REPORT | 2014-01-28 |
| ANNUAL REPORT | 2013-03-12 |
| ANNUAL REPORT | 2012-02-16 |
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-01-12 |
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-03-21 |
| ANNUAL REPORT | 2007-02-05 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
