| Entity Name: | DESTIN PODIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jan 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Mar 2012 (13 years ago) |
| Document Number: | L10000006557 |
| FEI/EIN Number | 27-1695965 |
| Address: | 2441 US Hwy 98, SUITE 102, SANTA ROSA BEACH, FL 32459 |
| Mail Address: | 2441 US HWY 98 WEST, SUITE 102, SANTA ROSA BEACH, FL 32459 |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700228897 | 2013-07-18 | 2024-06-13 | 2441 US HIGHWAY 98 W STE 102, SANTA ROSA BEACH, FL, 324595386, US | 12216 PANAMA CITY BEACH PKWY STE C, PANAMA CITY BEACH, FL, 324072728, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-650-6492 |
| Fax | 8506502178 |
Authorized person
| Name | DR. THOMAS WHITFIELD ROBERTS |
| Role | OWNER |
| Phone | 8506506492 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO3084 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBERTS, THOMAS W | Agent | 2441 US HWY 98 WEST, SUITE 102, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| ROBERTS, THOMAS W | Managing Member | 2441 US HWY 98 WEST, SUITE 102 SANTA ROSA BEACH, FL 32459 |
| ROBERTS, MISTI S | Managing Member | 2441 US HWY 98 WEST, SUITE 102 SANTA ROSA BEACH, FL 32459 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000019285 | COASTAL FOOT & ANKLE | ACTIVE | 2019-02-07 | 2029-12-31 | No data | 2441 US HWY 98 WEST SUITE 102, SANTA ROSA BEACH, FL, 32459 |
| G14000005892 | COASTAL FOOT AND ANKLE | ACTIVE | 2014-01-16 | 2029-12-31 | No data | 2441 US HIGHWAY 98 WEST, SUITE 102, SANTA ROSA BEACH, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-07 | 2441 US Hwy 98, SUITE 102, SANTA ROSA BEACH, FL 32459 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 2441 US Hwy 98, SUITE 102, SANTA ROSA BEACH, FL 32459 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-07 | 2441 US HWY 98 WEST, SUITE 102, SANTA ROSA BEACH, FL 32459 | No data |
| REINSTATEMENT | 2012-03-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-14 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
