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MICHAL WALDMAN DPM PA

Company Details

Entity Name: MICHAL WALDMAN DPM PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Jun 2017 (8 years ago)
Document Number: P17000053982
FEI/EIN Number 82-1806911
Address: 3210 Cove Bend Drive, TAMPA, FL, 33613, US
Mail Address: 3210 Cove Bend Drive, TAMPA, FL, 33613, US
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831619956 2017-06-20 2023-05-10 3210 COVE BEND DR, TAMPA, FL, 336132752, US 3210 COVE BEND DR, TAMPA, FL, 336132752, US

Contacts

Phone +1 813-972-4300
Fax 8139724180

Authorized person

Name MICHAL WALDMAN
Role PODIATRIST
Phone 8139724300

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3767
State FL
Is Primary Yes

Agent

Name Role Address
WALDMAN MICHAL Agent 3210 Cove Bend Drive, TAMPA, FL, 33613

President

Name Role Address
WALDMAN MICHAL DPM President 3210 COVE BEND DRIVE, TAMPA, FL, 33613

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000092861 TAMPA TOTAL BODY CARE ACTIVE 2023-08-09 2028-12-31 No data 3210 COVE BEND DR., TAMPA, FL, 33613
G17000090284 NORTH TAMPA FOOT CARE ACTIVE 2017-08-16 2027-12-31 No data 3120 COVE BEND DRIVE, TAMPA, FL, 33609-13

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-05-20 3210 Cove Bend Drive, TAMPA, FL 33613 No data
CHANGE OF MAILING ADDRESS 2019-05-17 3210 Cove Bend Drive, TAMPA, FL 33613 No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-07 3210 Cove Bend Drive, TAMPA, FL 33613 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-26
AMENDED ANNUAL REPORT 2019-05-20
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
Domestic Profit 2017-06-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State