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OUTREACH FOOT CARE LLC

Company Details

Entity Name: OUTREACH FOOT CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Oct 2024 (4 months ago)
Document Number: L24000431722
Address: 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243
Mail Address: 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243
ZIP code: 34243
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255152351 2024-10-21 2024-10-21 8051 N TAMIAMI TRL STE E6, SARASOTA, FL, 342432067, US 8051 N TAMIAMI TRL STE E6, SARASOTA, FL, 342432067, US

Contacts

Phone +1 573-979-1809
Fax 8885232655

Authorized person

Name DR. ROBERT M DAUGHERTY
Role OWNER
Phone 5739791809

Taxonomy

Taxonomy Code 213EP1101X - Primary Podiatric Medicine Podiatrist
Is Primary Yes

Agent

Name Role
CINDY'S FLORIDA LLC Agent

Authorized Representative

Name Role Address
PIERCE, ANDREW Authorized Representative 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243

Documents

Name Date
Florida Limited Liability 2024-10-07

Date of last update: 06 Jan 2025

Sources: Florida Department of State