| Entity Name: | NATIONAL PODIATRIC NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 1996 (28 years ago) |
| Document Number: | P96000092145 |
| FEI/EIN Number | 650996481 |
| Address: | 9831 NW 58TH STREET, 127, DORAL, FL, 33178 |
| Mail Address: | 9831 NW 58TH STREET, 127, DORAL, FL, 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386643286 | 2005-07-21 | 2008-10-24 | 9831 NW 58TH ST, SUITE # 127, DORAL, FL, 331782713, US | 9831 NW 58TH ST, SUITE # 127, DORAL, FL, 331782713, US | |||||||||||||||||||||||||
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| Phone | +1 305-221-6862 |
| Fax | 3052212033 |
Authorized person
| Name | DR. MANUEL J SONE |
| Role | PRESIDENT |
| Phone | 3052216862 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2910,PO2282,PO2971 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 340104900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SONE MANUEL | Agent | 9831 NW 58TH STREET, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| SONE MANUEL J | Director | 9831 NW 58TH STREET #127, DORAL, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2000-04-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
