| Entity Name: | INNOVATIVE FOOT AND ANKLE SPECIALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2024 (7 months ago) |
| Document Number: | L24000293871 |
| FEI/EIN Number | 99-3820628 |
| Address: | 244 TIMBERCREEK PINES CIRCLE, WINTER GARDEN, FL 34787 |
| Mail Address: | PO Box 770754, WINTER GARDEN, FL 34777 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457197873 | 2024-07-04 | 2024-08-22 | PO BOX 770754, WINTER GARDEN, FL, 347770754, US | 1502 N DONNELLY ST STE 107, MOUNT DORA, FL, 327572846, US | |||||||||||||
|
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| Phone | +1 352-744-6290 |
Authorized person
| Name | DR. KEVIN ALLEN TOOTLE |
| Role | PODIATRIST, PROVIDER |
| Phone | 3525627590 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TRINITY CONSULTANTS GROUP, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| TOOTLE, KEVIN | Managing Member | 244 TIMBERCREEK PINES CIRCLE, WINTER GARDEN, FL 34787 |
| Name | Role | Address |
|---|---|---|
| TOOTLE, KRYSTA | Manager | 244 TIMBERCREEK PINES CIRCLE, WINTER GARDEN, FL 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-09 | 244 TIMBERCREEK PINES CIRCLE, WINTER GARDEN, FL 34787 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-01 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
