| Entity Name: | PODIATRY ASSOCIATES OF PALM BEACH GARDENS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jul 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Oct 2020 (4 years ago) |
| Document Number: | P04000110777 |
| FEI/EIN Number | 710969658 |
| Address: | 4601 MILITARY TRAIL, 202, JUPITER, FL, 33458, US |
| Mail Address: | 4601 MILITARY TRAIL, 202, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598726986 | 2006-03-28 | 2021-10-18 | 4601 MILITARY TRAIL, SUITE 202, JUPITER, FL, 334584835, US | 4601 MILITARY TRAIL, SUITE 202, JUPITER, FL, 334584835, US | |||||||||||||||||||||||||
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| Phone | +1 561-624-4800 |
| Fax | 5616245206 |
Authorized person
| Name | ORLANDO A CEDENO JR. |
| Role | OWNER |
| Phone | 5616244800 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO1951 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAIL ROAD MEDICARE |
| Number | DC0438 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PODIATRY ASSOCIATES OF PALM BEACH GARDENS 401(K) PLAN | 2022 | 710969658 | 2023-10-16 | PODIATRY ASSOCIATES OF PALM BEACH GARDENS, INC. | 9 | |||||||||||||
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| PODIATRY ASSOCIATES OF PALM BEACH GARDENS 401(K) PLAN | 2021 | 710969658 | 2022-10-13 | PODIATRY ASSOCIATES OF PALM BEACH GARDENS, INC. | 6 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| CEDENO, JR. ORLANDO A | Agent | 4601 MILITARY TRAIL, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| CEDENO, JR. ORLANDO A | President | 4601 MILITARY TRAIL, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07297900316 | ABACOA PODIATRY | ACTIVE | 2007-10-24 | 2027-12-31 | No data | 4601 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-10-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-20 | CEDENO, JR., ORLANDO A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-06-11 | 4601 MILITARY TRAIL, STE 202, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-08 | 4601 MILITARY TRAIL, 202, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-08 | 4601 MILITARY TRAIL, 202, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-04 |
| Amendment | 2020-10-20 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8898208505 | 2021-03-10 | 0455 | PPS | 4601 Military Trl Ste 202, Jupiter, FL, 33458-4835 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5440367701 | 2020-05-01 | 0455 | PPP | 4601 MILITARY TRL STE 202, JUPITER, FL, 33458-4835 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
