| Entity Name: | FLORIDA FOOT & ANKLE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Oct 2005 (19 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 Oct 2006 (18 years ago) |
| Document Number: | L05000099048 |
| FEI/EIN Number | 141941024 |
| Address: | 8200 NW 27 STREET, SUITE 108, DORAL, FL, 33122, US |
| Mail Address: | 8200 NW 27 STREET, SUITE 108, DORAL, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700543345 | 2021-11-18 | 2023-10-27 | 8200 NW 27TH ST STE 108, DORAL, FL, 331221902, US | 2800 BISCAYNE BLVD STE 1000, MIAMI, FL, 331374559, US | |||||||||||||||||||||||||
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| Phone | +1 786-662-3893 |
| Fax | 7866623899 |
| Phone | +1 305-912-6646 |
| Fax | 8009746092 |
Authorized person
| Name | RICHARD L SEDA |
| Role | PRESIDENT |
| Phone | 3055382226 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020637200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Seda Richard LDr. | Agent | 8200 NW 27 STREET, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| Ringler Adam Dr. | Secretary | 8200 NW 27 STREET, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| Seda Richard LDPM | President | 8200 NW 27 STREET, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| DETWEILER MICHELLE D | Treasurer | 8200 NW 27 STREET, #108, DORAL, FL, 33122 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000110307 | FLORIDA MULTISPECIALTY ASSOCIATES, LLC | EXPIRED | 2014-10-31 | 2024-12-31 | No data | 8200 NW 27 ST, STE 108, OPTIONAL, DORAL, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-28 | Seda, Richard L, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-09 | 8200 NW 27 STREET, SUITE 108, DORAL, FL 33122 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 8200 NW 27 STREET, SUITE 108, DORAL, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-27 | 8200 NW 27 STREET, SUITE 108, DORAL, FL 33122 | No data |
| CANCEL ADM DISS/REV | 2006-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
