| Entity Name: | ALIGN FOOT AND ANKLE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Aug 2021 (4 years ago) |
| Document Number: | L21000350496 |
| FEI/EIN Number | 87-2112372 |
| Address: | 1615 PASADENA AVENUE SOUTH, ste 280, ST. PETERSBURG, FL 33707 |
| Mail Address: | 1615 PASADENA AVENUE SOUTH, ste 280, ST. PETERSBURG, FL 33707 |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720713571 | 2022-07-17 | 2023-09-21 | 1615 PASADENA AVE S STE 280, SOUTH PASADENA, FL, 337074517, US | 1615 PASADENA AVE S STE 280, SOUTH PASADENA, FL, 337074517, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 972-816-9356 |
| Fax | 7274766930 |
Authorized person
| Name | ZACHERY BARNETT |
| Role | OWNER |
| Phone | 9728169356 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DME SUPPLIER/PTAN NUMBER |
| Number | 8294210001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Barnett, Zachery Philip | Agent | 1615 Pasadena Ave S, SUITE 280, St. Petersburg, FL 33707 |
| Name | Role | Address |
|---|---|---|
| BARNETT, ZACHERY P, Dr. | MANAGER | 5009 Blue Willow Way, Palmetto, FL 33707 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000120048 | ALIGN FOOT AND ANKLE | ACTIVE | 2021-09-16 | 2026-12-31 | No data | 2 N. TAMIAMI TRAIL, SUITE 400, SARASOTA, FL, 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-20 | Barnett, Zachery Philip | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-20 | 1615 Pasadena Ave S, SUITE 280, St. Petersburg, FL 33707 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-07 | 1615 PASADENA AVENUE SOUTH, ste 280, ST. PETERSBURG, FL 33707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-01 | 1615 PASADENA AVENUE SOUTH, ste 280, ST. PETERSBURG, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-30 |
| Florida Limited Liability | 2021-08-04 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
