| Entity Name: | CHRISTOPHER J. BLANCO DPM, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Mar 2006 (19 years ago) |
| Document Number: | P06000032674 |
| FEI/EIN Number | 204445857 |
| Address: | 7500 NW 25 ST, 112, MIAMI, FL, 33122, US |
| Mail Address: | 7500 NW 25 ST, 112, MIAMI, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740471457 | 2007-08-07 | 2008-04-10 | 701 NW 57TH AVE STE 320, MIAMI, FL, 331262087, US | 701 NW 57TH AVE STE 320, MIAMI, FL, 331262087, US | |||||||||||||||||||
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| Phone | +1 305-264-2632 |
| Fax | 3052662274 |
Authorized person
| Name | DR. CHRISTOPHER J BLANCO |
| Role | PRESIDENT |
| Phone | 3052642632 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3186 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER J. BLANCO DPM PA GHT BENEFIT PLAN | 2023 | 204445857 | 2024-01-30 | CHRISTOPHER J. BLANCO DPM PA | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2024-01-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BLANCO CHRISTOPHER J | Agent | 7500 NW 25 ST, MIAMI, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| BLANCO CHRISTOPHER J | President | 7500 NW 25 ST, MIAMI, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-09 | 7500 NW 25 ST, 112, MIAMI, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-09 | 7500 NW 25 ST, 112, MIAMI, FL 33122 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-09 | 7500 NW 25 ST, 112, MIAMI, FL 33122 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-06-09 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
