| Entity Name: | FIRST COAST FOOT & ANKLE CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Dec 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2017 (7 years ago) |
| Document Number: | P06000157799 |
| FEI/EIN Number | 161782391 |
| Address: | 8075 GATE PARKWAY WEST #301, SUITE 301, JACKSONVILLE, FL, 32216 |
| Mail Address: | 8075 GATE PARKWAY WEST #301, SUITE 301, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013120963 | 2007-05-08 | 2015-04-10 | 8075 GATE PKWY W, SUITE 301, JACKSONVILLE, FL, 322163684, US | 8075 GATE PKWY W, SUITE 301, JACKSONVILLE, FL, 322163684, US | |||||||||||||||||||||||||
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| Phone | +1 904-739-9129 |
| Fax | 9047399127 |
Authorized person
| Name | DR. VIMAL REDDY |
| Role | OWNER PHYSICIAN |
| Phone | 9047399129 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO3091 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DME PIN |
| Number | 6330940002 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRST COAST FOOT & ANKLE CLINIC, INC. 401(K) PLAN | 2023 | 161782391 | 2024-08-26 | FIRST COAST FOOT & ANKLE CLINIC, INC. | 7 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-26 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-15 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-15 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-02-15 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-03 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-28 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-25 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-06-25 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9047399129 |
| Plan sponsor’s address | 8075 GATE PARKWAY W., SUITE 301, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-07 |
| Name of individual signing | VIMAL REDDY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| REDDY VIMAL A | Agent | 7841 James Island Trail, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| REDDY VIMAL | President | 8075 GATE PARKWAY WEST #301, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| REDDY VIMAL | Chief Executive Officer | 8075 GATE PARKWAY WEST #301, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-06-20 | 7841 James Island Trail, JACKSONVILLE, FL 32256 | No data |
| REINSTATEMENT | 2017-10-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-06 | REDDY, VIMAL A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-08 | 8075 GATE PARKWAY WEST #301, SUITE 301, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2014-10-08 | 8075 GATE PARKWAY WEST #301, SUITE 301, JACKSONVILLE, FL 32216 | No data |
| REINSTATEMENT | 2014-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2012-11-09 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Vimal Reddy, DPM, and First Coast Foot & Ankle Clinic, Inc., Petitioner(s), v. Gregory L. Campbell, Respondent(s). | 5D2024-2704 | 2024-09-30 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Vimal Reddy |
| Role | Petitioner |
| Status | Active |
| Representations | Jerry Lewis Rumph, Jr. |
| Name | FIRST COAST FOOT & ANKLE CLINIC, INC. |
| Role | Petitioner |
| Status | Active |
| Name | Gregory L. Campbell |
| Role | Respondent |
| Status | Active |
| Representations | Dalya Khulood Farah, Daniel Racker Schwartz, Douglas Fredric Eaton |
| Name | Hon. Katie L Dearing |
| Role | Judge/Judicial Officer |
| Status | Active |
Docket Entries
| Docket Date | 2024-11-12 |
| Type | Mandate |
| Subtype | Disp. w/o Mandate |
| Description | Disp. w/o Mandate |
| Docket Date | 2024-10-22 |
| Type | Disposition by Order |
| Subtype | Denied |
| Description | PETITION DENIED; MOT FILE AMENDED RESPONSE GRANTED; AMENDED RESPONSE ACCEPTED |
| View | View File |
| Docket Date | 2024-10-15 |
| Type | Motions Other |
| Subtype | Miscellaneous Motion |
| Description | Miscellaneous Motion FOR LEAVE TO FILE AMENDED RESPONSE |
| On Behalf Of | Gregory L. Campbell |
| Docket Date | 2024-10-15 |
| Type | Response |
| Subtype | Response |
| Description | Response to 10/7 order - Amended |
| On Behalf Of | Gregory L. Campbell |
| Docket Date | 2024-10-15 |
| Type | Record |
| Subtype | Appendix to Response |
| Description | Appendix to Response |
| On Behalf Of | Gregory L. Campbell |
| Docket Date | 2024-10-14 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance |
| On Behalf Of | Gregory L. Campbell |
| Docket Date | 2024-10-14 |
| Type | Response |
| Subtype | Response |
| Description | Response to 10/7 Order |
| On Behalf Of | Gregory L. Campbell |
| Docket Date | 2024-10-07 |
| Type | Order |
| Subtype | Order to Show Cause |
| Description | Order to Show Cause; RS W/IN 7 DYS RE: WHY PET SHOULD NOT BE GRANTED AND WRIT ISSUED |
| View | View File |
| Docket Date | 2024-09-30 |
| Type | Event |
| Subtype | Fee Paid in Full - $300 |
| Description | Fee Paid in Full - $300 |
| View | View File |
| Docket Date | 2024-09-30 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay Filing Fee - Fee Paid |
| View | View File |
| Docket Date | 2024-09-30 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-09-30 |
| Type | Record |
| Subtype | Appendix to Petition |
| Description | Appendix to Petition |
| Docket Date | 2024-09-30 |
| Type | Petition |
| Subtype | Petition Prohibition |
| Description | FILED HERE: 09/30/2024 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-07-18 |
| ANNUAL REPORT | 2019-06-20 |
| ANNUAL REPORT | 2018-04-10 |
| REINSTATEMENT | 2017-10-06 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
