| Entity Name: | PODIATRY FOOT AND ANKLE CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PODIATRY FOOT AND ANKLE CARE, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 Sep 2009 (16 years ago) |
| Document Number: | L09000090040 |
| FEI/EIN Number |
270961759
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5415 PARK STREET NORTH, SUITE C., SAINT PETERSBURG, FL, 33709, US |
| Mail Address: | 5415 PARK STREET NORTH, SUITE C., SAINT PETERSBURG, FL, 33709, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1306160270 | 2010-03-22 | 2023-02-16 | 5415 PARK ST N, SUITE C, SAINT PETERSBURG, FL, 337091087, US | 5415 PARK ST N, SUITE C, SAINT PETERSBURG, FL, 337091087, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-544-5425 |
| Fax | 7275445440 |
Authorized person
| Name | DR. JULIAN ROBERT MENENDEZ |
| Role | OWNER/PHYSICIAN |
| Phone | 7275445425 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3257 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP NPI |
| Number | 1306160270 |
| State | FL |
| Issuer | OFFICE OF WORKERS COMPENSATION |
| Number | 615430600 |
| State | FL |
| Issuer | RR MEDICARE INDIVIDUAL |
| Number | P00835981 |
| State | FL |
| Issuer | MAIL HANDLERS BENEFIT PLAN |
| Number | 3482826 |
| State | FL |
| Issuer | BC/BS |
| Number | 65944 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | CY302A |
| State | FL |
| Issuer | DEPT. OF LABOR |
| Number | 615430600 |
| State | FL |
| Issuer | DME SUPPLIER ID |
| Number | 6413570001 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 1360219 |
| State | FL |
| Issuer | RR MEDICARE GROUP |
| Number | DQ3766 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENENDEZ JULIAN R | Managing Member | 5415 PARK STREET NORTH SUITE C., SAINT PETERSBURG, FL, 33709 |
| MENENDEZ JULIAN R | Agent | 5415 PARK STREET NORTH, SAINT PETERSBURG, FL, 33709 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-02 |
| ANNUAL REPORT | 2016-04-27 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4168495000 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| 4168505001 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2960967203 | 2020-04-16 | 0455 | PPP | 5415 PARK ST N, SAINT PETERSBURG, FL, 33709-1028 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
