| Entity Name: | PODORTIS CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Mar 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Dec 2009 (15 years ago) |
| Document Number: | P07000035072 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 5841 SW 8 ST, WEST MIAMI, FL, 33144 |
| Mail Address: | 5841 SW 8 ST, WEST MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891932661 | 2009-01-14 | 2012-10-30 | 5841 SW 8TH ST, WEST MIAMI, FL, 331445035, US | 5841 SW 8TH ST, WEST MIAMI, FL, 331445035, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-446-2995 |
| Fax | 3054462996 |
Authorized person
| Name | LUIS CARBAJAL |
| Role | PRESIDENT/OWNER |
| Phone | 3054462995 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PED160 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | OFA275 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | ORF235 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002351800 |
| State | FL |
| Issuer | MEDICA HEALTH PLANS |
| Number | 20636 |
| Name | Role | Address |
|---|---|---|
| ARRUE CARMELINA | Agent | 5841 SW 8 ST, WEST MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| CARBAJAL LUIS | Director | 5841 SW 8 ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| CARBAJAL LUIS | President | 5841 SW 8 ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| ARRUE CARMELINA | Vice President | 5841 SW 8 ST, Miami, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| CARBAJAL ARRUE LUIS J | Authorized Member | 5841 SW 8 ST, Miami, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-19 | ARRUE, CARMELINA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-17 | 5841 SW 8 ST, WEST MIAMI, FL 33144 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-10-15 | 5841 SW 8 ST, WEST MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2012-10-15 | 5841 SW 8 ST, WEST MIAMI, FL 33144 | No data |
| AMENDMENT | 2009-12-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
