| Entity Name: | CLAUDIA R. MALLETTE, DPM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Jun 2015 (10 years ago) |
| Document Number: | L09000038513 |
| FEI/EIN Number | 26-4722064 |
| Address: | 200 S. Harbor City Blvd, MELBOURNE, FL, 32901, US |
| Mail Address: | 200 S. Harbor City Blvd, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154565315 | 2009-04-30 | 2009-10-22 | 1555 W NASA BLVD, MELBOURNE, FL, 329012640, US | 1555 W NASA BLVD, MELBOURNE, FL, 329012640, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-728-0117 |
| Fax | 3217280151 |
Authorized person
| Name | DR. CLAUDIA R. MALLETTE |
| Role | PRESIDENT |
| Phone | 3217952793 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO 2629 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALLETTE CLAUDIA R | Agent | 200 S. Harbor City Blvd, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| Mallette Claudia R | President | 200 S. Harbor City Blvd, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-17 | 200 S. Harbor City Blvd, 102, MELBOURNE, FL 32901 | No data |
| REINSTATEMENT | 2015-06-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-06-11 | 200 S. Harbor City Blvd, 102, MELBOURNE, FL 32901 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-06-11 | MALLETTE, CLAUDIA RD.P.M. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-06-11 | 200 S. Harbor City Blvd, 102, MELBOURNE, FL 32901 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-08-14 |
| ANNUAL REPORT | 2016-08-15 |
| REINSTATEMENT | 2015-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
