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MIAMI PODIATRY LLC

Company Details

Entity Name: MIAMI PODIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 20 Apr 2010 (15 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: L10000042213
FEI/EIN Number 272382472
Address: 3959 SOUTH NOVA RD, BUILDING B, SUITE 25, PORT ORANGE, FL, 32127, US
Mail Address: PO BOX 291815, PORT ORANGE, FL, 32129, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871893057 2010-10-22 2011-06-06 3959 S NOVA RD, BUILDING B SUITE 25, PORT ORANGE, FL, 321279278, US 3959 S NOVA RD, BUILDING B SUITE 25, PORT ORANGE, FL, 321279278, US

Contacts

Phone +1 786-277-8612
Fax 3862369006

Authorized person

Name LAURA B BURKE
Role MCC
Phone 7862270062

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

Agent

Name Role Address
MUSTAFA ZIA C Agent 3900 YORKTOWNE BLVD, PORT ORANGE, FL, 32129

Managing Member

Name Role Address
MUSTAFA ZIA C Managing Member 3900 YORKTOWNE BLVD, PORT ORANGE, FL, 32129

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000049460 PODIATRY ON CALL EXPIRED 2011-05-24 2016-12-31 No data 3959 S.NOVA RD. BUILDING B , SUITE 25, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-10 3959 SOUTH NOVA RD, BUILDING B, SUITE 25, PORT ORANGE, FL 32127 No data
CHANGE OF MAILING ADDRESS 2011-04-21 3959 SOUTH NOVA RD, BUILDING B, SUITE 25, PORT ORANGE, FL 32127 No data
REGISTERED AGENT NAME CHANGED 2011-04-21 MUSTAFA, ZIA C No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-21 3900 YORKTOWNE BLVD, APT 4108, PORT ORANGE, FL 32129 No data

Documents

Name Date
ANNUAL REPORT 2012-04-10
ANNUAL REPORT 2011-04-21
Florida Limited Liability 2010-04-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State