| Entity Name: | SIMMONS' PODIATRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Oct 1993 (31 years ago) |
| Document Number: | P93000071365 |
| FEI/EIN Number | 59-3214211 |
| Address: | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Mail Address: | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497831796 | 2006-10-29 | 2011-09-08 | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL, 329555209, US | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL, 329555209, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 321-728-1996 |
| Fax | 3214061026 |
| Fax | 3217281996 |
Authorized person
| Name | DR. RICHARD ALAN SIMMONS |
| Role | PRESIDENT |
| Phone | 3217281996 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO 0001472 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 480002763 |
| State | FL |
| Issuer | FIRST COAST SERVICE |
| Number | 87795A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIMMONS, RICHARD A | Agent | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Name | Role | Address |
|---|---|---|
| SIMMONS, RICHARD A | President | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Name | Role | Address |
|---|---|---|
| SIMMONS, RICHARD A | Vice President | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Name | Role | Address |
|---|---|---|
| SIMMONS, RICHARD A | Secretary | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Name | Role | Address |
|---|---|---|
| SIMMONS, RICHARD A | Treasurer | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-08-12 | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 | No data |
| CHANGE OF MAILING ADDRESS | 2009-08-12 | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-08-12 | 1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-24 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3064308305 | 2021-01-21 | 0455 | PPP | 1861 Admiralty Blvd, Rockledge, FL, 32955-5209 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
