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BEVERLY HILLS FOOT AND ANKLE, P.A.

Company Details

Entity Name: BEVERLY HILLS FOOT AND ANKLE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jun 2014 (11 years ago)
Document Number: P14000051718
FEI/EIN Number 47-1105876
Address: 3404 North Lecanto Highway, Beverly Hills, FL, 34465, US
Mail Address: 3404 North Lecanto Highway, Beverly Hills, FL, 34465, US
ZIP code: 34465
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003221706 2014-06-23 2024-05-03 3404 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653569, US 3404 N LECANTO HWY, SUITE A, BEVERLY HILLS, FL, 344653569, US

Contacts

Phone +1 352-513-4867
Fax 8883149873

Authorized person

Name DR. NISHA BALA KRISHNAN
Role PRESIDENT
Phone 3525134867

Taxonomy

Taxonomy Code 261QP1100X - Podiatric Clinic/Center
License Number PO3609
State FL
Is Primary Yes

Agent

Name Role Address
KRISHNAN NISHA Agent 3404 North Lecanto Highway, Beverly Hills, FL, 34465

President

Name Role Address
KRISHNAN NISHA President 3404 N Lecanto Highway, Suite A, Beverly Hills, FL, 34465

Vice President

Name Role Address
KRISHNAN NISHA Vice President 3404 N Lecanto Highway, Suite A, Beverly Hills, FL, 34465

Secretary

Name Role Address
KRISHNAN NISHA Secretary 3404 N Lecanto Highway, Suite A, Beverly Hills, FL, 34465

Treasurer

Name Role Address
KRISHNAN NISHA Treasurer 3404 N Lecanto Highway, Suite A, Beverly Hills, FL, 34465

Director

Name Role Address
KRISHNAN NISHA Director 3404 N Lecanto Highway Suite A, Beverly Hills, FL, 34465

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000058096 ADVANCED PODIATRY INSTITUTE EXPIRED 2019-05-15 2024-12-31 No data 3404 NORTH LECANTO HIGHWAY, SUITE A, BEVERLY HILLS, FL, 34465

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-21 3404 North Lecanto Highway, Suite A, Beverly Hills, FL 34465 No data
CHANGE OF MAILING ADDRESS 2021-01-21 3404 North Lecanto Highway, Suite A, Beverly Hills, FL 34465 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-21 3404 North Lecanto Highway, Suite A, Beverly Hills, FL 34465 No data

Documents

Name Date
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-01-08

Date of last update: 03 Feb 2025

Sources: Florida Department of State