| Entity Name: | FLORIDA PEDORTHICS, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jul 1995 (30 years ago) |
| Document Number: | P95000058373 |
| FEI/EIN Number | 65-0598856 |
| Address: | 1403 W BOYNTON BEACH BLVD, SUITE 14, BOYNTON BEACH, FL 33426 |
| Mail Address: | 1403 W BOYNTON BEACH BLVD, SUITE 14, BOYNTON BEACH, FL 33426 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659426583 | 2007-01-23 | 2016-12-20 | 1403 W BOYNTON BEACH BLVD, SUITE 14-15, BOYNTON BEACH, FL, 33426, US | 1403 W BOYNTON BEACH BLVD, SUITE 14-15, BOYNTON BEACH, FL, 33426, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-734-0032 |
| Fax | 5617345758 |
Authorized person
| Name | JOSEPH F LAROCCA |
| Role | PRESIDENT |
| Phone | 5617340032 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | PED20 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017110400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAROCCA, JOSEPH | Agent | 1403 W. BOYNTON BEACH BLVD., SUITE 14, BOYNTON BEACH, FL 33426 |
| Name | Role | Address |
|---|---|---|
| LAROCCA, JOSEPH | Director | 1403 W BOYNTON BEACH BLVD SUITE 14, BOYNTON BEACH, FL 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2007-03-16 | LAROCCA, JOSEPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-16 | 1403 W. BOYNTON BEACH BLVD., SUITE 14, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-02-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
