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MICHELLE KOO, D.P.M., P.A.

Company Details

Entity Name: MICHELLE KOO, D.P.M., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Jan 2007 (18 years ago)
Document Number: P07000009987
FEI/EIN Number 208241128
Address: 901 pennsylvania ave, MIAMI BEACH, FL, 33139, US
Mail Address: 901 pennsylvania ave, MIAMI BEACH, FL, 33139, US
ZIP code: 33139
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366716243 2012-02-24 2012-02-24 1602 ALTON RD # 480, MIAMI BEACH, FL, 331392421, US 1602 ALTON RD # 480, MIAMI BEACH, FL, 331392421, US

Contacts

Phone +1 786-459-1210

Authorized person

Name MICHELLE KOO
Role PRESIDENT
Phone 9547700587

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3281
State FL
Is Primary Yes

Agent

Name Role Address
KOO MICHELLE Agent 901 pennsylvania ave, MIAMI BEACH, FL, 33139

ceo

Name Role Address
KOO MICHELLE ceo 901 pennsylvania ave, MIAMI BEACH, FL, 33139

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000039097 ELITE PODIATRY EXPIRED 2014-04-19 2019-12-31 No data 1602 ALTON RD #480, MIAMI BEACH, FL, 33139
G10000034785 LASHING OUT EXPIRED 2010-04-20 2015-12-31 No data 1602 ALTON RD PMB 480, MIAMI BEACH, FL, 33139

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-12 901 pennsylvania ave, 3-480, MIAMI BEACH, FL 33139 No data
CHANGE OF MAILING ADDRESS 2018-01-12 901 pennsylvania ave, 3-480, MIAMI BEACH, FL 33139 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-12 901 pennsylvania ave, 3-480, MIAMI BEACH, FL 33139 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-02-20
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-05-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State