| Entity Name: | CELINE R. SOLTANI, DPM, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Jan 2005 (20 years ago) |
| Document Number: | P05000003763 |
| FEI/EIN Number | 202251427 |
| Address: | 14428 S. MILITARY TRAIL, Unit B, DELRAY BEACH, FL, 33484, US |
| Mail Address: | 14428 S. MILITARY TRAIL, Unit B, DELRAY BEACH, FL, 33484, US |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275538829 | 2005-06-19 | 2022-03-30 | 14428 S MILITARY TRL UNIT B, DELRAY BEACH, FL, 334843720, US | 14428 S MILITARY TRL UNIT B, DELRAY BEACH, FL, 334843720, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 561-498-3893 |
| Fax | 8005513458 |
Authorized person
| Name | DR. CELINE REZA SOLTANI |
| Role | OWNER |
| Phone | 5614983893 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO3063 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 340538900 |
| State | FL |
| Issuer | BCBS # |
| Number | 65855 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Celine Soltani RDr. | Agent | 14428 S. MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| SOLTANI CELINE R | President | 14428 S. MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| SOLTANI CELINE R | Secretary | 14428 S. MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| SOLTANI CELINE R | Treasurer | 14428 S. MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| SOLTANI CELINE R | Director | 14428 S. MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06139700085 | FOOT DOCTOR OF DELRAY | ACTIVE | 2006-05-19 | 2026-12-31 | No data | 14428-B SOUTH MILITARY TRAIL, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-08 | 14428 S. MILITARY TRAIL, Unit B, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-08 | 14428 S. MILITARY TRAIL, Unit B, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-08 | 14428 S. MILITARY TRAIL, Unit B, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-07 | Celine, Soltani R , Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-19 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
