Entity Name: | FAMILY FOOT AND ANKLE CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 29 Apr 1996 (29 years ago) |
Date of dissolution: | 27 Sep 2019 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2019 (5 years ago) |
Document Number: | P96000036945 |
FEI/EIN Number | 650662011 |
Address: | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL, 33417 |
Mail Address: | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL, 33417 |
ZIP code: | 33417 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720099435 | 2006-08-10 | 2008-05-14 | 5928 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174324, US | 5928 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174324, US | |||||||||||||||||||||||||
|
Phone | +1 561-471-8004 |
Fax | 5614719304 |
Authorized person
Name | DR. GLENN ALAN RISPLER |
Role | PHYSICIAN PRESIDENT FAMILY FOOT |
Phone | 5614718004 |
Taxonomy
Taxonomy Code | 213E00000X - Podiatrist |
License Number | 200114714 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 390377000 |
State | FL |
Name | Role | Address |
---|---|---|
RISPLER GLENN A | Agent | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL, 33417 |
Name | Role | Address |
---|---|---|
RISPLER NANETTE | President | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL, 33417 |
Name | Role | Address |
---|---|---|
RISPLER GLENN | Vice President | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL, 33417 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REINSTATEMENT | 2016-11-11 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-11-11 | RISPLER, GLENN ALAN | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2001-01-31 | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL 33417 | No data |
CHANGE OF MAILING ADDRESS | 2001-01-31 | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL 33417 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2001-01-31 | 5928 OKEECHOBEE BLVD., WEST PALM BEACH, FL 33417 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2018-04-18 |
ANNUAL REPORT | 2017-04-11 |
REINSTATEMENT | 2016-11-11 |
ANNUAL REPORT | 2015-05-01 |
ANNUAL REPORT | 2014-04-22 |
ANNUAL REPORT | 2013-04-24 |
ANNUAL REPORT | 2012-02-21 |
ANNUAL REPORT | 2011-03-07 |
ANNUAL REPORT | 2010-04-16 |
ANNUAL REPORT | 2009-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State