| Entity Name: | THE SHOE LAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jan 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Aug 2009 (15 years ago) |
| Document Number: | P08000001391 |
| FEI/EIN Number | 421751004 |
| Address: | 1201 1ST STREET S.W., RUSKIN, FL, 33570 |
| Mail Address: | 13521 Mango Bay Dr, Riverview, FL, 33579, US |
| ZIP code: | 33570 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730365453 | 2008-01-11 | 2018-08-31 | 1201 1ST ST SW, RUSKIN, FL, 335705345, US | 1201 1ST ST SW, RUSKIN, FL, 33570, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-645-5800 |
| Fax | 8136410319 |
Authorized person
| Name | JEFFREY J CORNIELLO |
| Role | PRESIDENT |
| Phone | 8136455800 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PED 76 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001855300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jeffrey Corniello J | Agent | 13521 Mango Bay Dr, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| CORNIELLO JEFFREY J | President | 13521 Mango Bay Drive, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| CORNIELLO JEFFREY J | Secretary | 13521 Mango Bay Drive, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| CORNIELLO JEFFREY J | Treasurer | 13521 Mango Bay Drive, Riverview, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| CORNIELLO JEFFREY J | Director | 13521 Mango Bay Drive, Riverview, FL, 33579 |
| Carol Corniello M | Director | 13521 Mango Bay Dr, Riverview, FL, 33579 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000018915 | WWW.MYSHOELAB.COM | ACTIVE | 2024-02-03 | 2029-12-31 | No data | 13521 MANGO BAY DR, RIVERVIEW, FL, 33579 |
| G10000098538 | WWW.SHOEREPAIRBYMAIL.COM | EXPIRED | 2010-10-27 | 2015-12-31 | No data | 1201 1ST STREET SW, RUSKIN, FL, 33570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 1201 1ST STREET S.W., RUSKIN, FL 33570 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-04 | 1201 1ST STREET S.W., RUSKIN, FL 33570 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-04 | Jeffrey, Corniello J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-04 | 13521 Mango Bay Dr, Riverview, FL 33579 | No data |
| AMENDMENT | 2009-08-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
