| Entity Name: | GEOFFREY M. DAY, DPM CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Feb 2024 (a year ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | P24000019597 |
| FEI/EIN Number | 38-3217726 |
| Address: | 3450 S. OCEAN BLVD. #425, PALM BEACH, FL 33480 |
| Mail Address: | 3450 S. OCEAN BLVD. #425, PALM BEACH, FL 33480 |
| ZIP code: | 33480 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386935070 | 2011-04-28 | 2024-01-16 | 3450 S OCEAN BLVD APT 425, PALM BEACH, FL, 334805952, US | 3450 S OCEAN BLVD APT 425, PALM BEACH, FL, 334805952, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 231-675-3958 |
Authorized person
| Name | DR. GEOFFREY M DAY |
| Role | OWNER |
| Phone | 2316753958 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | 5901001667 |
| State | MI |
| Is Primary | No |
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | Q5028 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | 0M30340 |
| State | WI |
| Name | Role | Address |
|---|---|---|
| DAY, GEOFFREY | Agent | 3450 S. OCEAN BLVD. #425, PALM BEACH, FL 33480 |
| Name | Role | Address |
|---|---|---|
| DAY, GEOFFREY M | Director | 3450 S. OCEAN BLVD. #425, PALM BEACH, FL 33480 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-02-02 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 700000251257 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-02 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
