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FOOT AND ANKLE ASSOCIATES OF BREVARD LLC

Company Details

Entity Name: FOOT AND ANKLE ASSOCIATES OF BREVARD LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 04 Apr 2017 (8 years ago)
Document Number: M17000002856
FEI/EIN Number 81-5238212
Address: 4020 FAIR POINT LANE, MELBOURNE, FL 32934
Mail Address: 4020 FAIR POINT LANE, MELBOURNE, FL 32934
ZIP code: 32934
County: Brevard
Place of Formation: WYOMING

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114465515 2017-02-06 2017-02-06 4020 FAIR POINT LN, MELBOURNE, FL, 329348436, US 4020 FAIR POINT LN, MELBOURNE, FL, 329348436, US

Contacts

Phone +1 321-960-9040

Authorized person

Name DR. JARED BRIANT MOYLES
Role OWNER
Phone 3219609040

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
License Number PO 3545
State FL
Is Primary Yes

Agent

Name Role Address
MOYLES, JARED Agent 4020 FAIR POINT LANE, MELBOURNE, FL 32934

Manager

Name Role Address
MOYLES, JARED Manager 4020 FAIR POINT LANE, MELBOURNE, FL 32934

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000117724 PALM BAY PODIATRY EXPIRED 2017-10-25 2022-12-31 No data 4020 FAIR POINT LN, MELBOURNE, FL, 32934
G17000039281 MELBOURNE PODIATRY ASSOCIATES ACTIVE 2017-04-12 2027-12-31 No data 4020 FAIR POINT LANE, MELBOURNE, FL, 32934

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-01-14
Foreign Limited 2017-04-04

Date of last update: 19 Jan 2025

Sources: Florida Department of State