| Entity Name: | JAY SEIDEL, DPM, PA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2018 (7 years ago) |
| Document Number: | F18000002722 |
| FEI/EIN Number | 465483971 |
| Address: | 5508 HARFORD RD, BALTIMORE, MD, 21214, US |
| Mail Address: | 1874 w hillsboro blvd, Suite F, Deerfield Beach, FL, 33442, US |
| Place of Formation: | MARYLAND |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942797188 | 2018-04-13 | 2022-05-23 | 1874 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421420, US | 1874 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421420, US | |||||||||||||
|
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| Phone | +1 954-426-4544 |
Authorized person
| Name | JAY SEIDEL |
| Role | CEO |
| Phone | 4109055496 |
Taxonomy
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEIDEL JAY | Agent | 1874 W HILLSBORO BLVD SUITE F, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| SEIDEL JAY | Chairman | 1874 W HILLSBORO BLVD SUITE F, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| SEIDEL JAY | President | 1874 W HILLSBORO BLVD SUITE F, DEERFIELD BEACH, FL, 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000067487 | SOUTH FLORIDA PODIATRY | ACTIVE | 2018-06-12 | 2028-12-31 | No data | 1874 WEST HILLSBORUGH BLVD SUITE F, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-02-13 | 5508 HARFORD RD, BALTIMORE, MD 21214 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-13 | SEIDEL, JAY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-13 |
| Foreign Profit | 2018-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
