| Entity Name: | ALL FLORIDA PODIATRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Nov 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Mar 2022 (3 years ago) |
| Document Number: | P00000109824 |
| FEI/EIN Number | 593684681 |
| Address: | 5760 10TH AVENUE NORTH, SAINT PETERSBURG, FL, 33710, US |
| Mail Address: | 5760 10TH AVENUE NORTH, SAINT PETERSBURG, FL, 33710, US |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972797199 | 2007-08-30 | 2008-04-20 | 5760 10TH AVENUE NORTH, ST. PETERSBURG, FL, 337106432, US | 5101 BRITTANY DR S, ST PETERSBURG, FL, 337151565, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-384-1111 |
| Fax | 7273841112 |
Authorized person
| Name | MRS. KIMBERLEE MARIE COLALUCE |
| Role | ADMINISTRATION |
| Phone | 7273841111 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO2815 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CITRUSCAID |
| Number | 11010101 |
| State | FL |
| Issuer | WELLCARE |
| Number | 163508 |
| State | FL |
| Issuer | PCHS |
| Number | 163508 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHEILD |
| Number | 65644 |
| Issuer | UNITED |
| Number | 2700633 |
| Issuer | AMERIGROUP |
| Number | 111877 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLALUCE MARC GD.P.M. | Agent | 199 BANYAN BAY DR, SAINT PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| COLALUCE MARC GD.P.M. | President | 199 BANYAN BAY DR, SAINT PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-03-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-04 | COLALUCE, MARC G., D.P.M. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-23 | 199 BANYAN BAY DR, SAINT PETERSBURG, FL 33705 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-16 | 5760 10TH AVENUE NORTH, SAINT PETERSBURG, FL 33710 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-08 | 5760 10TH AVENUE NORTH, SAINT PETERSBURG, FL 33710 | No data |
| NAME CHANGE AMENDMENT | 2001-08-15 | ALL FLORIDA PODIATRY, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-16 |
| REINSTATEMENT | 2022-03-15 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
