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SURGICAL FOOT SPECIALITIES P.A.

Company Details

Entity Name: SURGICAL FOOT SPECIALITIES P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Jun 2014 (11 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: P14000055311
FEI/EIN Number 47-1279214
Address: 8130 ROYAL PALM BLVD., SUITE #200, CORAL SPRINGS, FL, 33065, US
Mail Address: 8130 ROYAL PALM BLVD., SUITE #200, CORAL SPRINGS, FL, 33065, US
ZIP code: 33065
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861808784 2014-07-11 2014-07-11 8190 ROYAL PALM BLVD STE 203, CORAL SPRINGS, FL, 330655706, US 8190 ROYAL PALM BLVD STE 203, CORAL SPRINGS, FL, 330655706, US

Contacts

Phone +1 954-346-5077

Authorized person

Name DR. DERYCK ROMEO FERNANDEZ
Role PRESIDENT
Phone 9543465077

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3674
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ PAULETTE Agent 8130 ROYAL PALM BLVD., CORAL SPRINGS, FL, 33065

President

Name Role Address
FERNANDEZ DERYCK President 8130 ROYAL PALM BLVD., CORAL SPRINGS, FL, 33065

Secretary

Name Role Address
FERNANDEZ DERYCK Secretary 8130 ROYAL PALM BLVD., CORAL SPRINGS, FL, 33065

Treasurer

Name Role Address
FERNANDEZ DERYCK Treasurer 8130 ROYAL PALM BLVD., CORAL SPRINGS, FL, 33065

Director

Name Role Address
FERNANDEZ DERYCK Director 8130 ROYAL PALM BLVD., CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-16 8130 ROYAL PALM BLVD., SUITE #200, CORAL SPRINGS, FL 33065 No data
CHANGE OF MAILING ADDRESS 2021-03-16 8130 ROYAL PALM BLVD., SUITE #200, CORAL SPRINGS, FL 33065 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-16 8130 ROYAL PALM BLVD., SUITE #200, CORAL SPRINGS, FL 33065 No data
REGISTERED AGENT NAME CHANGED 2014-07-10 FERNANDEZ, PAULETTE No data

Documents

Name Date
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-27
Reg. Agent Change 2014-07-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State