| Entity Name: | PODIATRY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2021 (4 years ago) |
| Document Number: | L21000292598 |
| FEI/EIN Number | 87-1454576 |
| Address: | 2400 SW 69 AVENUE, SUITE 140, MIAMI, FL 33155 |
| Mail Address: | 2400 SW 69 AVENUE, SUITE 140, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184497455 | 2023-10-30 | 2023-10-30 | 7190 SW 87TH AVE STE 403, MIAMI, FL, 331732512, US | 7190 SW 87TH AVE STE 403, MIAMI, FL, 331732512, US | |||||||||||||
|
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| Phone | +1 305-456-0772 |
Authorized person
| Name | BAMIDELE OLUPONA |
| Role | MEDICAL DOCTOR |
| Phone | 3058590569 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sztyndor, Robyn Lynn, Esq. | Agent | 2400 SW 69 AVENUE, SUITE 140, MIAMI, FL 33155 |
| Name | Role |
|---|---|
| PREMIUM HEALTHCARE MANAGEMENT, LLC | Director |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-18 | Sztyndor, Robyn Lynn, Esq. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-30 |
| Florida Limited Liability | 2021-06-24 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
