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ATLANTIC PODIATRY ASSOCIATES, D.P.M., P.A. - Florida Company Profile

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Company Details

Entity Name: ATLANTIC PODIATRY ASSOCIATES, D.P.M., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Apr 1996 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Jun 2024 (a year ago)
Document Number: P96000029481
FEI/EIN Number 593369532
Address: 1890 LPGA BLVD, SUITE 230, DAYTONA BEACH, FL, 32117, US
Mail Address: 4101 Charlotte Avenue, Suite F185, Nashville, TN, 37209, US
ZIP code: 32117
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RUST JAMES W President 1890 LPGA BLVD SUITE 230, DAYTONA BEACH, FL, 32117
GREEN ANDREW B Director 1890 LPGA BLVD, DAYTONA BEACH, FL, 32117
GREEN ANDREW B Vice President 1890 LPGA BLVD, DAYTONA BEACH, FL, 32117
GREEN ANDREW B Secretary 1890 LPGA BLVD, DAYTONA BEACH, FL, 32117
GREEN ANDREW B Treasurer 1890 LPGA BLVD, DAYTONA BEACH, FL, 32117
MCBROOM DENNIS Secretary 1890 LPGA BLVD SUITE 230, DAYTONA BEACH, FL, 32117
- Agent -

National Provider Identifier

NPI Number:
1902427586
Certification Date:
2020-05-05

Authorized Person:

Name:
JAMES W RUST
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
3862743660
Fax:
3865867346

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000085889 UPPERLINE FLORIDA VEIN CENTER ACTIVE 2020-07-21 2025-12-31 - 1890 LPGA BOULEVARD, SUITE 255, DAYTONA BEACH, FL, 32117
G11000081265 ATLANTIC FOOT & ANKLE ASSOCIATES EXPIRED 2011-08-16 2016-12-31 - 1890 LPGA BOULEVARD SUITE 230, DAYTONA BEACH, FL, 32117
G11000081260 FLORIDA LASER CENTER EXPIRED 2011-08-16 2016-12-31 - 1890 LPGA BOULEVARD SUITE 203, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-06-10 115 North Calhoun Street, Suite 4, Tallahassee, FL 32301 -
REINSTATEMENT 2024-06-10 - -
CHANGE OF MAILING ADDRESS 2024-06-10 1890 LPGA BLVD, SUITE 230, DAYTONA BEACH, FL 32117 -
REGISTERED AGENT NAME CHANGED 2024-06-10 COGENCY GLOBAL INC. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REINSTATEMENT 2021-11-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
AMENDMENT 2010-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2007-04-30 1890 LPGA BLVD, SUITE 230, DAYTONA BEACH, FL 32117 -

Documents

Name Date
REINSTATEMENT 2024-06-10
ANNUAL REPORT 2022-04-28
REINSTATEMENT 2021-11-12
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-09-11
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-04-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State