Entity Name: | JOHN SAVIDAKIS, JR., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Sep 2003 (21 years ago) |
Document Number: | P03000104366 |
FEI/EIN Number | 200265588 |
Address: | 2701 PARK DR., SUITE 6, CLEARWATER, FL, 33763, US |
Mail Address: | 2701 PARK DR., SUITE 6, CLEARWATER, FL, 33763, US |
ZIP code: | 33763 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104802206 | 2005-12-20 | 2013-08-23 | 2701 PARK DR, SUITE 6, CLEARWATER, FL, 337631021, US | 2701 PARK DR, SUITE 6, CLEARWATER, FL, 337631021, US | |||||||||||||||||||||||||
|
Phone | +1 727-796-1490 |
Fax | 7277975611 |
Authorized person
Name | DR. JOHN SAVIDAKIS |
Role | OWNER |
Phone | 7277961490 |
Taxonomy
Taxonomy Code | 213E00000X - Podiatrist |
License Number | PO0002430 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 390339700 |
State | FL |
Name | Role | Address |
---|---|---|
SAVIDAKIS JOHN J | Agent | 2701 PARK DR., SUITE 6, CLEARWATER, FL, 33763 |
Name | Role | Address |
---|---|---|
SAVIDAKIS JOHN J | Director | 2701 PARK DR., SUITE 6, CLEARWATER, FL, 33763 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2014-04-08 | 2701 PARK DR., SUITE 6, CLEARWATER, FL 33763 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-05-09 | 2701 PARK DR., SUITE 6, CLEARWATER, FL 33763 | No data |
CHANGE OF MAILING ADDRESS | 2013-05-09 | 2701 PARK DR., SUITE 6, CLEARWATER, FL 33763 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-23 |
ANNUAL REPORT | 2023-03-08 |
ANNUAL REPORT | 2022-03-21 |
ANNUAL REPORT | 2021-04-09 |
ANNUAL REPORT | 2020-06-15 |
ANNUAL REPORT | 2019-04-16 |
ANNUAL REPORT | 2018-03-28 |
ANNUAL REPORT | 2017-04-18 |
ANNUAL REPORT | 2016-02-03 |
ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State