| Entity Name: | KUSSEL & ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Dec 1997 (27 years ago) |
| Document Number: | P97000105071 |
| FEI/EIN Number | 59-3482538 |
| Mail Address: | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Address: | 2378 SUNSET POINT RD, CLEARWATER, FL 33765 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740726959 | 2017-01-11 | 2017-01-11 | 1302 W SWANN AVE, TAMPA, FL, 336062531, US | 1302 W SWANN AVE, TAMPA, FL, 336062531, US | |||||||||||||||||||||
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| Phone | +1 813-250-3668 |
| Fax | 8132501515 |
Authorized person
| Name | DR. FERDINAND KUSSEL |
| Role | OWNER |
| Phone | 7277975007 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009413200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KUSSEL, TANIA H | Agent | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KUSSEL, FERDINAND O | President | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KUSSEL, FERDINAND O | Director | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| KUSSEL, TANIA H | Director | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KUSSEL, TANIA H | Secretary | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KUSSEL, TANIA H | Vice President | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KUSSEL, TANIA H | Treasurer | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000029336 | TAMPA BAY PODIATRY | ACTIVE | 2024-02-25 | 2029-12-31 | No data | 814 S FREMONT AVE, TAMPA, FL, 33606 |
| G15000072652 | TAMPA BAY PODIATRY | ACTIVE | 2015-07-13 | 2025-12-31 | No data | 814 S. FREMONT AVE., TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-13 | 2378 SUNSET POINT RD, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-24 | 2378 SUNSET POINT RD, CLEARWATER, FL 33765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-24 | 814 SOUTH FREMONT AVENUE, TAMPA, FL 33606 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-04-28 | KUSSEL, TANIA H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7536967207 | 2020-04-28 | 0455 | PPP | 814 S Fremont Ave,, Tampa, FL, 33765-1430 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
