| Entity Name: | BAYSHORE PODIATRY CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAYSHORE PODIATRY CENTER INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Jun 1981 (44 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 22 Jul 2021 (4 years ago) |
| Document Number: | F40041 |
| FEI/EIN Number |
592093559
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 508 S. HABANA AVE., 230, TAMPA, FL, 33609, US |
| Mail Address: | 508 S. HABANA AVE., 230, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982688354 | 2005-11-30 | 2024-10-23 | 508 S HABANA AVE STE 230, TAMPA, FL, 336094161, US | 508 S HABANA AVE STE 230, TAMPA, FL, 336094161, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-877-6636 |
| Fax | 8138776610 |
Authorized person
| Name | DR. JAMES EDWARD REPKO |
| Role | PRESIDENT |
| Phone | 8138776636 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | P00001221 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0000X - Sports Medicine Podiatrist |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 041093400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Repko James EDr. | President | 508 S. HABANA AVE., TAMPA, FL, 33609 |
| NIEHAUS SALEENA | Vice President | 508S HABANA AVENUE SUITE 230, TAMPA, FL, 33609 |
| Repko James EDr. | Agent | 508 S. HABANA AVE., TAMPA, FL, 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000062785 | BAYSHORE PODIATRY CENTER | ACTIVE | 2020-06-04 | 2025-12-31 | - | 508 S. HABANA AVE, STE 230, TAMPA, FL, 33609 |
| G17000141082 | HEEL PAIN CENTER OF TAMPA BAY | ACTIVE | 2017-12-25 | 2027-12-31 | - | 508 S HABANA AVE., STE 230, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2021-07-22 | BAYSHORE PODIATRY CENTER INC | - |
| REGISTERED AGENT NAME CHANGED | 2021-01-13 | Repko, James Edward, Dr. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-25 | 508 S. HABANA AVE., 230, TAMPA, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2008-01-25 | 508 S. HABANA AVE., 230, TAMPA, FL 33609 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-25 | 508 S. HABANA AVE., 230, TAMPA, FL 33609 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-02 |
| Amendment and Name Change | 2021-07-22 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
