| Entity Name: | FOUNDATIONS FOOT AND ANKLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Feb 2016 (9 years ago) |
| Date of dissolution: | 30 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Mar 2018 (7 years ago) |
| Document Number: | L16000034903 |
| FEI/EIN Number | 81-1646082 |
| Address: | 7281 SUNSHINE GROVE RD,, BROOKSVILLE, FL, 34613, US |
| Mail Address: | 22319 POWELL RD, BROOKSVILLE, FL, 34602, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407218092 | 2016-03-23 | 2017-03-02 | 22319 POWELL RD, BROOKSVILLE, FL, 346025705, US | 22319 POWELL RD, BROOKSVILLE, FL, 346025705, US | |||||||||||||||||||||||||
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| Phone | +1 352-650-9573 |
| Fax | 5138587827 |
Authorized person
| Name | ADAM TRINQUE |
| Role | OWNER |
| Phone | 3526509573 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO3695 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018641900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRINQUE ADAM | Agent | 22319 POWELL RD, BROOKSVILLE, FL, 34602 |
| Name | Role | Address |
|---|---|---|
| TRINQUE ADAM | Manager | 22319 POWELL RD, BROOKSVILLE, FL, 34602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-08 | 7281 SUNSHINE GROVE RD,, SUITE 118, BROOKSVILLE, FL 34613 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-07-25 | FOUNDATIONS FOOT AND ANKLE LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2016-07-25 | TRINQUE, ADAM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-07-25 | 22319 POWELL RD, BROOKSVILLE, FL 34602 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-21 | 7281 SUNSHINE GROVE RD,, SUITE 118, BROOKSVILLE, FL 34613 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-30 |
| ANNUAL REPORT | 2017-04-26 |
| LC Amendment and Name Change | 2016-07-25 |
| Florida Limited Liability | 2016-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
