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INTEGRATIVE FOOT AND ANKLE, LLC

Company Details

Entity Name: INTEGRATIVE FOOT AND ANKLE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2011 (13 years ago)
Document Number: L11000113739
FEI/EIN Number 453535631
Address: 5405 Okeechobee Blvd, West Palm Beach, FL, 33417, US
Mail Address: 5405 Okeechobee Blvd, West Palm Beach, FL, 33417, US
ZIP code: 33417
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194116343 2015-02-10 2015-02-10 900 OSCEOLA DR, STE 201, WEST PALM BEACH, FL, 334095075, US 100 CENTURY BLVD, WEST PALM BEACH, FL, 334172262, US

Contacts

Phone +1 561-293-3439
Fax 5616891844

Authorized person

Name DANIEL J PERO
Role PODIATRIST
Phone 5612933439

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3394
State FL
Is Primary Yes
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number FD1702
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTEGRATIVE FOOT AND ANKLE LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 453535631 2024-12-10 INTEGRATIVE FOOT AND ANKLE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2024-12-10
Name of individual signing CECILIA PERO
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 453535631 2021-07-20 INTEGRATIVE FOOT AND ANKLE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing CECILIA PERO
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 453535631 2020-07-28 INTEGRATIVE FOOT AND ANKLE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing CECILIA PERO
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE 401 K PROFIT SHARING PLAN TRUST 2018 453535631 2019-07-30 INTEGRATIVE FOOT AND ANKLE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing CECILIA PERO
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE 401 K PROFIT SHARING PLAN TRUST 2017 453535631 2018-07-26 INTEGRATIVE FOOT AND ANKLE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing CECILIA GUEVARA
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE 401 K PROFIT SHARING PLAN TRUST 2016 453535631 2017-07-28 INTEGRATIVE FOOT AND ANKLE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 5405 OKEECHOBEE BLVD STE 303, WEST PALM BEACH, FL, 334174554

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing CECILIA GUEVARA
Valid signature Filed with authorized/valid electronic signature
INTEGRATIVE FOOT AND ANKLE 401 K PROFIT SHARING PLAN TRUST 2015 453535631 2016-07-21 INTEGRATIVE FOOT AND ANKLE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5612933439
Plan sponsor’s address 900 OSCEOLA DRIVE, SUITE 201, WEST PALM BEACH, FL, 33409

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing CECILIA GUEVARA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PERO DANIEL J Agent 1500 Centrepark, WEST PALM BEACH, FL, 33401

Managing Member

Name Role Address
PERO DANIEL J Managing Member 1500 Centrepark, WEST PALM BEACH, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000076008 SPECIALTY SURGEONS OF PALM BEACH EXPIRED 2018-07-11 2023-12-31 No data 5405 OKEECHOBEE BLVD, 303, WEST PALM BEACH, FL, 33417
G16000025995 PALM BEACH PODIATRY CONCIERGE EXPIRED 2016-03-10 2021-12-31 No data 900 OSCEOLA DRIVE, SUITE 201, WEST PALM BEACH, FL, 33409

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-27 1500 Centrepark, 527, WEST PALM BEACH, FL 33401 No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-23 5405 Okeechobee Blvd, Suite 303, West Palm Beach, FL 33417 No data
CHANGE OF MAILING ADDRESS 2017-04-23 5405 Okeechobee Blvd, Suite 303, West Palm Beach, FL 33417 No data
LC AMENDMENT 2012-03-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-08-23
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-23
ANNUAL REPORT 2016-05-01
ANNUAL REPORT 2015-04-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State