| Entity Name: | CENTER FOR ANKLE & FOOT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jan 2002 (23 years ago) |
| Document Number: | P02000003740 |
| FEI/EIN Number | 043604213 |
| Address: | 3190 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL, 34711, US |
| Mail Address: | 3190 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194850107 | 2007-02-22 | 2018-06-19 | 3190 CITRUS TOWER BLVD STE A, CLERMONT, FL, 347116886, US | 3190 CITRUS TOWER BLVD STE A, CLERMONT, FL, 34711, US | |||||||||||||||||||||||||
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| Phone | +1 352-242-2502 |
| Fax | 3522420316 |
Authorized person
| Name | DR. TIM JAMES HENNE |
| Role | DOCTOR |
| Phone | 3522422502 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 4690780001 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DME |
| Number | 4690780001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCGOWAN JOSEPH F | Agent | 3150 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MCGOWAN MICHELE | Director | 3150 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| HENNE TIM | Vice President | 3150 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000093847 | NATURAL NAIL SPA | EXPIRED | 2013-09-22 | 2018-12-31 | No data | 3150 CITRUS TOWER BLVD, SUITE B, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-09 | 3190 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-09 | 3190 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-11 | 3150 CITRUS TOWER BLVD, SUITE B, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
