| Entity Name: | FOOT AND ANKLE MEDICAL CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2016 (9 years ago) |
| Document Number: | L16000002062 |
| FEI/EIN Number | 81-1644042 |
| Address: | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653, US |
| Mail Address: | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653, US |
| ZIP code: | 34653 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386098226 | 2016-04-18 | 2018-09-12 | 5141 DEER PARK DR UNIT 1C, NEW PORT RICHEY, FL, 346537013, US | 5141 DEER PARK DR STE 1C, NEW PORT RICHEY, FL, 34653, US | |||||||||||||||||
|
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| Phone | +1 727-847-2406 |
| Fax | 7278410567 |
Authorized person
| Name | DAVID M ALLEN |
| Role | OWNER/PRESIDENT |
| Phone | 7278472406 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN DAVID MD.P.M. | Agent | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653 |
| Name | Role | Address |
|---|---|---|
| ALLEN DAVID MD.P.M. | Owne | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653 |
| Name | Role | Address |
|---|---|---|
| Tyner Tiffany A | Manager | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-11 | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-11 | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-11 | 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-02-06 |
| Florida Limited Liability | 2016-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
