Entity Name: | CRIGLER FOOT & ANKLE CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 14 Nov 2012 (12 years ago) |
Document Number: | L12000143996 |
FEI/EIN Number | 46-1399807 |
Address: | 251 Maitland Ave, SUITE 206, ALTAMONTE SPRINGS, FL, 32701, US |
Mail Address: | 251 Maitland Ave, SUITE 206, ALTAMONTE SPRINGS, FL, 32701, US |
ZIP code: | 32701 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013258953 | 2013-03-01 | 2024-08-21 | 251 MAITLAND AVE, SUITE 206, ALTAMONTE SPRINGS, FL, 327014810, US | 251 MAITLAND AVE, SUITE 206, ALTAMONTE SPRINGS, FL, 327014810, US | |||||||||||||||||||||||
|
Phone | +1 407-331-3668 |
Fax | 4073313700 |
Authorized person
Name | DR. LISA BETH CRIGLER |
Role | PODIATRIST |
Phone | 4073313668 |
Taxonomy
Taxonomy Code | 213E00000X - Podiatrist |
License Number | PO 3242 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1851599922 |
Name | Role |
---|---|
WILLIAM DIETZ, P.A. | Agent |
Name | Role | Address |
---|---|---|
Crigler Lisa MGRM | Managing Member | 4814 E. Lake Drive, Winter Springs, FL, 32708 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-20 | 251 Maitland Ave, SUITE 206, ALTAMONTE SPRINGS, FL 32701 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-20 | 251 Maitland Ave, SUITE 206, ALTAMONTE SPRINGS, FL 32701 | No data |
REGISTERED AGENT NAME CHANGED | 2024-01-20 | WILLIAM DIETZ, P.A. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-01-20 | 334 S. WYMORE ROAD, WINTER PARK, FL 32789 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-20 |
ANNUAL REPORT | 2023-02-22 |
ANNUAL REPORT | 2022-03-23 |
ANNUAL REPORT | 2021-01-30 |
ANNUAL REPORT | 2020-03-29 |
ANNUAL REPORT | 2019-04-02 |
ANNUAL REPORT | 2018-03-30 |
ANNUAL REPORT | 2017-03-15 |
ANNUAL REPORT | 2016-04-14 |
ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State