| Entity Name: | LIGHTHOUSE FOOT & ANKLE CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2004 (21 years ago) |
| Document Number: | L04000014062 |
| FEI/EIN Number | 141910687 |
| Address: | 665 SE 10TH STREET #102, DEERFEILD BEACH, FL, 33441, US |
| Mail Address: | PO BOX 50163, LIGHTHOUSE POINT, FL, 33074-0163, US |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508056326 | 2007-07-27 | 2009-07-22 | PO BOX 50163, LIGHTHOUSE PT, FL, 330740163, US | 2100 NE 36TH ST, SUITE 203, LIGHTHOUSE PT, FL, 330647574, US | |||||||||||||||||||
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| Phone | +1 954-933-9033 |
| Fax | 9549340060 |
Authorized person
| Name | DR. COLETTE TARA D'ALTILIO |
| Role | MANAGEING MEMBER |
| Phone | 9549339033 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3030 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| D'ALTILIO COLETTE T | Agent | 5247 DEERHURST CRESENT CIRCLE, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| D'ALTILIO COLETTE T | Manager | 5247 DEERHURST CRESENT CIRCLE, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| D'ALTILIO CHRISTOPHER A | Managing Member | 5347 DEERHURST CRESENT CIRCLE, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-11 | 665 SE 10TH STREET #102, DEERFEILD BEACH, FL 33441 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-31 | 665 SE 10TH STREET #102, DEERFEILD BEACH, FL 33441 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
