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PODICARE SERVICES, INC.

Company Details

Entity Name: PODICARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Sep 2000 (24 years ago)
Date of dissolution: 22 Jul 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 22 Jul 2016 (9 years ago)
Document Number: P00000085621
FEI/EIN Number 651040350
Address: 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 33021
Mail Address: 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 33021
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306147095 2010-11-11 2010-11-11 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 330216927, US 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 330216927, US

Contacts

Phone +1 954-923-7440
Fax 9549231299

Authorized person

Name MRS. JEFFREY L GALITZ
Role CHAIRMAN
Phone 9549237440

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME49450
State FL
Is Primary No
Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
License Number PO1983
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 06427901
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PODICARE SERVICES INC 2013 651040350 2015-06-17 PODICARE SERVICES INC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812990
Sponsor’s telephone number 9549237440
Plan sponsor’s address 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 33021

Signature of

Role Plan administrator
Date 2015-06-17
Name of individual signing ALEJANDRO ALONSO
Valid signature Filed with authorized/valid electronic signature
PODICARE SERVICES, INC. 2012 651040350 2013-05-15 PODICARE SERVICES, INC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812990
Plan sponsor’s address 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 33021

Signature of

Role Plan administrator
Date 2013-05-15
Name of individual signing ALEJANDRO ALONSO
Valid signature Filed with authorized/valid electronic signature
PODICARE SERVICES, INC. 2011 651040350 2012-05-22 PODICARE SERVICES, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812990
Sponsor’s telephone number 9549237440
Plan sponsor’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021

Plan administrator’s name and address

Administrator’s EIN 651040350
Plan administrator’s name PODICARE SERVICES, INC.
Plan administrator’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549237440

Signature of

Role Plan administrator
Date 2012-05-22
Name of individual signing ALEJANDRO ALONSO
Valid signature Filed with authorized/valid electronic signature
PODICARE SERVICES INC 401 K PROFIT SHARING PLAN TRUST 2010 651040350 2011-05-11 PODICARE SERVICES INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812990
Sponsor’s telephone number 9549237440
Plan sponsor’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021

Plan administrator’s name and address

Administrator’s EIN 651040350
Plan administrator’s name PODICARE SERVICES INC
Plan administrator’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549237440

Signature of

Role Plan administrator
Date 2011-05-11
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-11
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature
PODICARE SERVICES INC 2009 651040350 2010-06-22 PODICARE SERVICES INC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9549237440
Plan sponsor’s address 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 330210000

Plan administrator’s name and address

Administrator’s EIN 651040350
Plan administrator’s name PODICARE SERVICES INC
Plan administrator’s address 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL, 330210000
Administrator’s telephone number 9549237440

Signature of

Role Plan administrator
Date 2010-06-22
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-22
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature
PODICARE SERVICES INC 2009 651040350 2010-06-16 PODICARE SERVICES INC 0
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812990
Sponsor’s telephone number 9549237440
Plan sponsor’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021

Plan administrator’s name and address

Administrator’s EIN 651040350
Plan administrator’s name PODICARE SERVICES INC
Plan administrator’s address 3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549237440

Signature of

Role Plan administrator
Date 2010-06-16
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-16
Name of individual signing PODICARE SERVICES INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

President

Name Role Address
GALITZ JEFFREY President 3440 HOLLYWOOD BLVD SUITE 460, HOLLYWOOD, FL, 33021

Vice President

Name Role Address
POLLACK GEORGE Vice President 3440 HOLLYWOOD BLVD SUITE 460, HOLLYWOOD, FL, 33021

Chief Financial Officer

Name Role Address
ALONSO ALEJANDRO A Chief Financial Officer 3440 HOLLYWOOD BLVD SUITE 460, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-07-22 No data No data
REGISTERED AGENT NAME CHANGED 2011-02-14 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2011-02-14 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2007-05-01 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL 33021 No data
CHANGE OF MAILING ADDRESS 2007-05-01 3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL 33021 No data
AMENDMENT 2000-09-12 No data No data

Documents

Name Date
Voluntary Dissolution 2016-07-22
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-19
ANNUAL REPORT 2014-01-09
AMENDED ANNUAL REPORT 2013-08-26
ANNUAL REPORT 2013-01-24
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-02-17
Reg. Agent Change 2011-02-14
ANNUAL REPORT 2011-01-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State