| Entity Name: | BAY BREEZE FOOT & ANKLE SPECIALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Oct 2015 (9 years ago) |
| Document Number: | L15000179117 |
| FEI/EIN Number | 47-5387210 |
| Address: | 1022 MAIN ST, SUITE L, DUNEDIN, FL 34698 |
| Mail Address: | 1022 MAIN ST, SUITE L, DUNEDIN, FL 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306219597 | 2015-11-10 | 2016-03-18 | 1022 MAIN ST, SUITE L, DUNEDIN, FL, 346985238, US | 1022 MAIN ST, SUITE L, DUNEDIN, FL, 346985238, US | |||||||||||||||||||||||||
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| Phone | +1 727-734-5575 |
| Fax | 7277334147 |
Authorized person
| Name | MAURICE WARREN AIKEN |
| Role | PRESIDENT/OWNER |
| Phone | 7277345575 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3681 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | IM364A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GULECAS, JAMES F, ESQ | Agent | 1968 BAYSHORE BLVD, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| AIKEN, MAURICE W, DPM | Manager | 1022 MAIN ST, SUITE L, DUNEDIN, FL 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-20 | 1022 MAIN ST, SUITE L, DUNEDIN, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-20 | 1022 MAIN ST, SUITE L, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-20 |
| Florida Limited Liability | 2015-10-21 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
