| Entity Name: | SAMUEL S WOOCIKER, DPM, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Apr 2012 (13 years ago) |
| Document Number: | P12000038788 |
| FEI/EIN Number | 45-5366032 |
| Address: | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| Mail Address: | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912531286 | 2020-02-26 | 2020-02-26 | 445 WARRIOR TRL, ENTERPRISE, FL, 327252456, US | 445 WARRIOR TRL, ENTERPRISE, FL, 327252456, US | |||||||||||||
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| Phone | +1 407-376-0522 |
Authorized person
| Name | DR. SAMUEL S. WOOCIKER |
| Role | PRESIDENT |
| Phone | 4073760522 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOOCIKER SAMUEL S | Agent | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| WOOCIKER SAMUEL S | President | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000024652 | INDIANA BONES TRADING COMPANY | EXPIRED | 2018-02-17 | 2023-12-31 | No data | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| G14000024273 | SOUTH DAYTONA LASER CENTER | EXPIRED | 2014-03-09 | 2019-12-31 | No data | 445 WARRIOR TRAIL, ENTERPRISE, FL, 32725 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-06-22 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-09-13 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
