Entity Name: | COMPREHENSIVE FOOT AND ANKLE CENTER, PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 15 Feb 2008 (17 years ago) |
Document Number: | P08000017190 |
FEI/EIN Number | 261982028 |
Address: | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL, 34638, US |
Mail Address: | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL, 34638, US |
ZIP code: | 34638 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053585851 | 2008-04-14 | 2020-09-03 | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL, 346386213, US | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL, 346386213, US | |||||||||||||||||||||||||
|
Phone | +1 813-909-0865 |
Fax | 8139499532 |
Authorized person
Name | DR. GEORGE TJAMALOUKAS |
Role | PRESIDENT |
Phone | 7274104988 |
Taxonomy
Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
License Number | PO3177 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RAILROAD MEDICARE |
Number | DO112 |
State | FL |
Name | Role | Address |
---|---|---|
TJAMALOUKAS GEORGE | Agent | 1897 FOX GRAPE LOOP, LUTZ, FL, 33558 |
Name | Role | Address |
---|---|---|
TJAMALOUKAS GEORGE | President | 1897 FOX GRAPE LOOP, LUTZ, FL, 33558 |
Name | Role | Address |
---|---|---|
TJAMALOUKAS GEORGE | Secretary | 1897 FOX GRAPE LOOP, LUTZ, FL, 33558 |
Name | Role | Address |
---|---|---|
TJAMALOUKAS KATHY G | Vice President | 1897 FOX GRAPE LOOP, LUTZ, FL, 33558 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL 34638 | No data |
CHANGE OF MAILING ADDRESS | 2022-02-01 | 2716 STONEWOOD PARK LOOP, LAND O LAKES, FL 34638 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 1897 FOX GRAPE LOOP, LUTZ, FL 33558 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-22 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-05 |
ANNUAL REPORT | 2020-01-27 |
ANNUAL REPORT | 2019-01-03 |
ANNUAL REPORT | 2018-01-29 |
ANNUAL REPORT | 2017-02-09 |
ANNUAL REPORT | 2016-01-22 |
ANNUAL REPORT | 2015-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State