| Entity Name: | MOBILE PODIATRY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Feb 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P05000023574 |
| FEI/EIN Number | 20-2341174 |
| Address: | 5330 WINHAWK WAY, LUTZ, FL 33558 |
| Mail Address: | 5330 WINHAWK WAY, LUTZ, FL 33558 |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659394906 | 2006-07-26 | 2008-06-30 | 5330 WINHAWK WAY, LUTZ, FL, 335588038, US | 5330 WINHAWK WAY, LUTZ, FL, 335588038, US | |||||||||||||||||||||||||||
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| Phone | +1 813-968-2328 |
Authorized person
| Name | PERRY V VERLENI |
| Role | PRESIDENT |
| Phone | 8139682328 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RRMC |
| Number | DF3492 |
| State | FL |
| Issuer | MEDICAID |
| Number | 340432300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLER, KELLY D | Agent | 17735 ESPRIT DR, TAMPA, FL 33547 |
| Name | Role | Address |
|---|---|---|
| VERLENI, PERRY VD.P.M. | President | 5330 WINHAWK WAY, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| VERLENI, SARANN | Vice President | 5330 WINHAWK WAY, LUTZ, FL 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2009-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-09-30 | MILLER, KELLY D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-09-30 | 17735 ESPRIT DR, TAMPA, FL 33547 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-28 |
| ANNUAL REPORT | 2010-04-28 |
| REINSTATEMENT | 2009-09-30 |
| ANNUAL REPORT | 2008-01-13 |
| ANNUAL REPORT | 2007-04-10 |
| ANNUAL REPORT | 2006-08-14 |
| Domestic Profit | 2005-02-14 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
