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FOOT AND ANKLE MEDICAL CENTER, PLLC - Florida Company Profile

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Company Details

Entity Name: FOOT AND ANKLE MEDICAL CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Jan 2016 (10 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
City: New Port Richey
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALLEN DAVID MD.P.M. Owne 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653
Tyner Tiffany A Manager 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653
ALLEN DAVID MD.P.M. Agent 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL, 34653

National Provider Identifier

NPI Number:
1386098226

Authorized Person:

Name:
DAVID M ALLEN
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
7278410567

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-11 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 -
CHANGE OF MAILING ADDRESS 2019-04-11 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-11 5141 DEER PARK DRIVE C1, NEW PORT RICHEY, FL 34653 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-07-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-07-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 01 Aug 2025

Sources: Florida Department of State