| Entity Name: | ADLER PODIATRY AND WOUND CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 May 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L09000049865 |
| FEI/EIN Number | 270230277 |
| Address: | 3636 UNIVERSITY BOULEVARD SOUTH, BUILDING C, JACKSONVILLE, FL, 32216 |
| Mail Address: | 3636 UNIVERSITY BOULEVARD SOUTH, BUILDING C, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255567301 | 2009-06-03 | 2010-03-12 | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL, 322164250, US | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL, 322164250, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-731-1711 |
| Fax | 9047319270 |
Authorized person
| Name | TERRI A STRANDBERG |
| Role | BILLING MANAGER |
| Phone | 8003941169 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 000LZ |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DP4418 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 0000D |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADLER PHILIP F | Agent | 3636 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| ADLER PHILIP F | Manager | 3636 UNIVERSITY BOULEVARD SOUTH BLDG C, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-01-05 |
| Florida Limited Liability | 2009-05-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
