| Entity Name: | ADLER PODIATRY CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Nov 2011 (13 years ago) |
| Document Number: | L11000133272 |
| FEI/EIN Number | 453033445 |
| Address: | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326488255 | 2013-06-25 | 2013-06-25 | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL, 322164250, US | 3316 3RD ST S, SUITE 201, JACKSONVILLE BEACH, FL, 322506073, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 904-731-1711 |
| Fax | 9047319270 |
Authorized person
| Name | PHILIP F ADLER |
| Role | OWNER/PODIATRIST |
| Phone | 9047311711 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO690 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO2158 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO3516 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Adler Philip FDR | Agent | 3636 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| ADLER PHILIP FDr. | Manager | 3636 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-15 | Adler, Philip F, DR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-15 | 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-10 |
| AMENDED ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2016-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
