| Entity Name: | ALF PODIATRY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Apr 2010 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L10000043568 |
| FEI/EIN Number | 272415262 |
| Address: | 631 SW 23RD ROAD, MIAMI, FL, 33129 |
| Mail Address: | 631 SW 23RD ROAD, MIAMI, FL, 33129 |
| ZIP code: | 33129 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639460033 | 2011-04-20 | 2011-12-15 | 631 SW 23RD RD, MIAMI, FL, 331291929, US | 631 SW 23RD RD, MIAMI, FL, 331291929, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 305-854-2222 |
| Fax | 3058548581 |
Authorized person
| Name | DR. PATRICIA M ROSAS-GUYON |
| Role | OWNER |
| Phone | 3058542222 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | PO2583 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PODIATRY LICENSE |
| Number | PO 2583 |
| State | FL |
| Issuer | MEDICAID |
| Number | 390346001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSAS-GUYON PATRICIA MDr. | Agent | 631 SW 23RD ROAD, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| ROSAS-GUYON PATRICIA M | Managing Member | 631 SW 23RD ROAD, MIAMI, FL, 33129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | ROSAS-GUYON, PATRICIA M, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 631 SW 23RD ROAD, MIAMI, FL 33129 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 631 SW 23RD ROAD, MIAMI, FL 33129 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000373422 | LAPSED | 1000000597790 | DADE | 2014-03-17 | 2024-03-21 | $ 1,900.01 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13001197681 | ACTIVE | 1000000502207 | DADE | 2013-05-29 | 2028-07-24 | $ 2,112.15 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-29 |
| Florida Limited Liability | 2010-04-23 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
