Entity Name: | SCOLA PODIATRY, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Apr 2002 (23 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 01 Mar 2013 (12 years ago) |
Document Number: | P02000042442 |
FEI/EIN Number | 043645824 |
Address: | 4615 NW 53RD AVE, GAINESVILLE, FL, 32653 |
Mail Address: | 4615 NW 53RD AVE, GAINESVILLE, FL, 32653 |
ZIP code: | 32653 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093084642 | 2011-12-27 | 2011-12-27 | 2630 NW 41ST ST, SUITE C3, GAINESVILLE, FL, 326067495, US | 4615 NW 53RD AVE, GAINESVILLE, FL, 326534885, US | |||||||||||||||||||||||||||
|
Phone | +1 352-375-0166 |
Fax | 3523751677 |
Phone | +1 352-264-0094 |
Authorized person
Name | MR. JERE SCOLA |
Role | MANAGING PARTNER |
Phone | 3522640094 |
Taxonomy
Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
License Number | P02981 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 340266500 |
State | FL |
Name | Role | Address |
---|---|---|
SCOLA JERE A | Agent | 4615 NW 53RD AVE, GAINESVILLE, FL, 32653 |
Name | Role | Address |
---|---|---|
SCOLA JERE | Director | 4615 NW 53RD AVE, GAINESVILLE, FL, 32653 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 4615 NW 53RD AVE, GAINESVILLE, FL 32653 | No data |
REINSTATEMENT | 2013-03-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF MAILING ADDRESS | 2011-04-29 | 4615 NW 53RD AVE, GAINESVILLE, FL 32653 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-04-29 | 4615 NW 53RD AVE, GAINESVILLE, FL 32653 | No data |
CANCEL ADM DISS/REV | 2007-04-30 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-02-21 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-06-17 |
ANNUAL REPORT | 2019-04-23 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-04-26 |
ANNUAL REPORT | 2016-03-02 |
ANNUAL REPORT | 2015-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State