| Entity Name: | FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 May 2023 (2 years ago) |
| Document Number: | L23000215233 |
| FEI/EIN Number | 92-3840963 |
| Address: | 4625 EAST BAY DRIVE, SUITE 106, CLEARWATER, FL, 33764, US |
| Mail Address: | 3110 GRAND AVE, 4106, PINELLAS PARK, FL, 33782, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154010056 | 2023-05-05 | 2024-04-18 | 4625 E BAY DR STE 106, CLEARWATER, FL, 337646866, US | 4625 E BAY DR STE 106, CLEARWATER, FL, 337646866, US | |||||||||||||
|
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| Phone | +1 727-434-4468 |
Authorized person
| Name | ASMA KHAN |
| Role | ADMINISTRATOR |
| Phone | 7735508401 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN ASMA N | Agent | 3110 GRAND AVE, PINELLAS PARK, FL, 33782 |
| Name | Role | Address |
|---|---|---|
| KHAN ASMA N | Director | 3110 GRAND AVE, 4106, PINELLAS PARK, FL, 33782 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-15 | 4625 EAST BAY DRIVE, SUITE 106, CLEARWATER, FL 33764 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| Florida Limited Liability | 2023-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
