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ADM ORTHOPAEDIC FOOT & ANKLE SPECIALISTS, INC.

Company Details

Entity Name: ADM ORTHOPAEDIC FOOT & ANKLE SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Mar 2017 (8 years ago)
Date of dissolution: 02 Feb 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 Feb 2021 (4 years ago)
Document Number: P17000027458
FEI/EIN Number 82-0951426
Address: 2526 Canary Isles Drive, Melbourne, FL, 32901, US
Mail Address: 2526 Canary Isles Drive, Melbourne, FL, 32901, US
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528547056 2018-08-07 2020-08-03 930 S HARBOR CITY BLVD STE 100, MELBOURNE, FL, 329011901, US 930 S HARBOR CITY BLVD STE 100, MELBOURNE, FL, 329011901, US

Contacts

Phone +1 321-345-7579
Fax 3213272494

Authorized person

Name DR. ALLISON MUIA WADE
Role PRESIDENT
Phone 7726311741

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number ME106167
State FL
Is Primary Yes

Agent

Name Role Address
WADE ALLISON MMD Agent 2526 Canary Isles Drive, Melbourne, FL, 32901

Director

Name Role Address
WADE ALLISON MD Director 2526 Canary Isles Drive, Melbourne, FL, 32901

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-02-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-06-13 2526 Canary Isles Drive, Melbourne, FL 32901 No data
CHANGE OF MAILING ADDRESS 2019-06-13 2526 Canary Isles Drive, Melbourne, FL 32901 No data
REGISTERED AGENT ADDRESS CHANGED 2019-06-13 2526 Canary Isles Drive, Melbourne, FL 32901 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-02-02
ANNUAL REPORT 2020-03-22
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-03-04
Domestic Profit 2017-03-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State