| Entity Name: | FARAGALLA FOOT CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Feb 2017 (8 years ago) |
| Document Number: | L17000037133 |
| FEI/EIN Number | 81-5462980 |
| Address: | 6120 53rd Ave East, Bradenton, FL, 34203, US |
| Mail Address: | 11416 Gramercy park Ave, Bradenton, FL, 34211, US |
| ZIP code: | 34203 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750822565 | 2017-03-13 | 2018-03-20 | 11416 GRAMERCY PARK AVE, BRADENTON, FL, 342118459, US | 2105 MANATEE AVE E, BRADENTON, FL, 342081640, US | |||||||||||||||||
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| Phone | +1 551-655-4146 |
Authorized person
| Name | DR. WASSEM FARAGALLA |
| Role | DPM |
| Phone | 5516554146 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO3803 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARAGALLA WASSEM | Agent | 11416 Gramercy park Ave, Bradenton, FL, 34211 |
| Name | Role | Address |
|---|---|---|
| FARAGALLA WASSEM | Manager | 11416 Gramercy park Ave, Bradenton, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-10 | 6120 53rd Ave East, Bradenton, FL 34203 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-20 | 6120 53rd Ave East, Bradenton, FL 34203 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-20 | 11416 Gramercy park Ave, Bradenton, FL 34211 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-05 |
| AMENDED ANNUAL REPORT | 2020-12-10 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-02-20 |
| Florida Limited Liability | 2017-02-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
