| Entity Name: | IXSA'S FOOT AND ANKLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jun 2007 (18 years ago) |
| Date of dissolution: | 14 Feb 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Feb 2018 (7 years ago) |
| Document Number: | P07000073559 |
| FEI/EIN Number | 651309486 |
| Mail Address: | 1188 SW 104th way, PEMBROKE PINES, FL, 33025, US |
| Address: | 1188 SW 104th Way, Pembroke Pines, FL, 33025, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316144835 | 2007-06-28 | 2009-06-24 | 1188 N STATE ROAD 7, APT 103, LAUDERHILL, FL, 333136634, US | 4343 W FLAGLER ST, SUITE 400, CORAL GABLES, FL, 331341586, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-592-0898 |
Authorized person
| Name | IXSA TANYA GARCIA |
| Role | OWNER |
| Phone | 9525920898 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO3300 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | 65954 |
| State | FL |
| Issuer | MEDICAID |
| Number | 340653900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA IXSA TDr. | Agent | 1188 SW 104th way, PEMBROKE PINES, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| GARCIA-JUARBE IXSA T | DPM | 1188 SW 104th Way, PEMBROKE PINES, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-02-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-04 | 1188 SW 104th Way, Pembroke Pines, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-17 | 1188 SW 104th Way, Pembroke Pines, FL 33025 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-17 | GARCIA, IXSA T., Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-17 | 1188 SW 104th way, PEMBROKE PINES, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-04 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-02-14 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-01-31 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-01-28 |
| ANNUAL REPORT | 2010-02-23 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-03-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
