| Entity Name: | CERTIFIED FOOT & ANKLE SPECIALISTS, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jul 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Oct 2019 (5 years ago) |
| Document Number: | L09000064233 |
| FEI/EIN Number | 270492585 |
| Address: | 4733 W ATLANTIC AVE, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 4733 W ATLANTIC AVE, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497406508 | 2022-01-11 | 2024-10-09 | PO BOX 746232, ATLANTA, GA, 303746232, US | 1285 36TH ST STE 203, VERO BEACH, FL, 329606588, US | |||||||||||||||||||||||
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| Phone | +1 754-702-3359 |
| Fax | 5612889045 |
| Phone | +1 772-567-0111 |
| Fax | 7722576521 |
Authorized person
| Name | KYLE J KINMON |
| Role | PRESIDENT/DPM |
| Phone | 5619950229 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | No |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kinmon Kyle JD.P.M. | Agent | 4733 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| KINMON KYLE JD.P.M. | Manager | 4733 W ATLANTIC AVE, Delray Beach, FL, 33445 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000115254 | SOUTH FLORIDA KIDNEY SPECIALIST | EXPIRED | 2019-10-24 | 2024-12-31 | No data | 2609 W WOOLBRIGHT RD STE 3A, BOYNTON BEACH, FL, 33436 |
| G19000027900 | MULTI-SPECIALTY PHYSICIAN SERVICES | ACTIVE | 2019-02-27 | 2029-12-31 | No data | 120 SE 5 AVE, #218, BOCA RATON, FL, 33432 |
| G18000114298 | PALM BEACH HEART & VASCULAR | EXPIRED | 2018-10-22 | 2023-12-31 | No data | 120 SE 5TH AVE, APT 218, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-24 | 4733 W ATLANTIC AVE, STE C-2, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-24 | 4733 W ATLANTIC AVE, STE C-2, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-24 | 4733 W ATLANTIC AVE, STE C-2, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-09 | Kinmon, Kyle J, D.P.M. | No data |
| LC AMENDMENT | 2019-10-22 | No data | No data |
| LC AMENDED/RESTATED ARTICLE/NAME CHANGE | 2015-09-24 | CERTIFIED FOOT & ANKLE SPECIALISTS, LLC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-24 |
| AMENDED ANNUAL REPORT | 2021-06-09 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-04-15 |
| LC Amendment | 2019-10-22 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
