| Entity Name: | TEAM FEET, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Mar 1995 (30 years ago) |
| Document Number: | P95000023153 |
| FEI/EIN Number | 65-0568274 |
| Address: | 1411 N. FLAGLER DR., SUITE 4100, WEST PALM BEACH, FL 33401 |
| Mail Address: | 1411 N. FLAGLER DR., SUITE 4100, WEST PALM BEACH, FL 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326384702 | 2012-12-12 | 2012-12-12 | 1411 N FLAGLER DR STE 4100, WEST PALM BCH, FL, 334013436, US | 1411 N FLAGLER DR STE 4100, WEST PALM BCH, FL, 334013436, US | |||||||||||||||||||||||||
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| Phone | +1 561-659-3930 |
| Fax | 5618331009 |
Authorized person
| Name | SCOTT S STROLLA |
| Role | PRESIDENT |
| Phone | 5616593930 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO2462 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 390242100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STROLLA, SCOTT | Agent | 1411 N. FLAGLER DR, SUITE 4100, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| STROLLA, SCOTT SD.P.M | DPM | 1411 N. FLAGLER DR. STE 4100, WEST PALM BEACH, FL 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2008-03-21 | 1411 N. FLAGLER DR., SUITE 4100, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-08-09 | 1411 N. FLAGLER DR., SUITE 4100, WEST PALM BEACH, FL 33401 | No data |
| REGISTERED AGENT NAME CHANGED | 1996-08-09 | STROLLA, SCOTT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1996-08-09 | 1411 N. FLAGLER DR, SUITE 4100, WEST PALM BEACH, FL 33401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
