| Entity Name: | PODIATRY ASSOCIATES OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Mar 1998 (27 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 29 Mar 1999 (26 years ago) |
| Document Number: | P98000020751 |
| FEI/EIN Number | 59-3502544 |
| Address: | 5911 Timuquana Road, Unit 300, Jacksonville, FL 32210 |
| Mail Address: | 5911 TIMUQUANA ROAD, UNIT 300, JACKSONVILLE, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003579178 | 2021-10-15 | 2023-06-01 | 5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL, 322107897, US | 4625 E BAY DR STE 106, CLEARWATER, FL, 337646866, US | |||||||||||||||
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| Phone | +1 904-251-5053 |
| Fax | 9042242002 |
Authorized person
| Name | JEANNIE M BASKIN |
| Role | CORPORATE ADMINISTRATOR |
| Phone | 9042515053 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PODIATRY ASSOCIATES OF FLORIDA INC. 401(K) PLAN | 2012 | 593502544 | 2013-10-15 | PODIATRY ASSOCIATES OF FLORIDA INC | 44 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593502544 |
| Plan administrator’s name | PODIATRY ASSOCIATES OF FLORIDA INC |
| Plan administrator’s address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9042242001 |
Number of participants as of the end of the plan year
| Active participants | 43 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 16 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 54 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | SUSAN SINCHUK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-15 |
| Name of individual signing | SUSAN SINCHUK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-08-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9042242001 |
| Plan sponsor’s mailing address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
| Plan sponsor’s address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
Plan administrator’s name and address
| Administrator’s EIN | 593502544 |
| Plan administrator’s name | PODIATRY ASSOCIATES OF FLORIDA INC |
| Plan administrator’s address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9042242001 |
Number of participants as of the end of the plan year
| Active participants | 42 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 17 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 55 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-04 |
| Name of individual signing | SUSAN SINCHUK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-08-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 9042242001 |
| Plan sponsor’s mailing address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
| Plan sponsor’s address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
Plan administrator’s name and address
| Administrator’s EIN | 593502544 |
| Plan administrator’s name | PODIATRY ASSOCIATES OF FLORIDA INC |
| Plan administrator’s address | 3117 SPRING GLEN ROAD, SUITE 402, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9042242001 |
Number of participants as of the end of the plan year
| Active participants | 42 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 17 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 51 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | SUSAN SINCHUK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Baskin, Jeannie | Agent | 5911 Timuquana Road, Unit 300, Jacksonville, FL 32210 |
| Name | Role | Address |
|---|---|---|
| Cesar, Harold | Director | 5911 Timuquana Road, Unit 300 Jacksonville, FL 32210 |
| Lagoutaris, Efstratios D | Director | 1361 13th Ave South, Ste 120 Jacksonville Beach, FL 32250 |
| Herbst, Bradley | Director | 12276 San Jose Blvd, Ste 606 Jacksonville, FL 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08248900141 | NORTHSIDE FOOT & ANKLE CLINIC | EXPIRED | 2008-09-04 | 2013-12-31 | No data | 1740 EDGEWOOD AVENUE WEST, JACKSONVILLE, FL, 32208 |
| G08248900139 | WESTSIDE FOOT & ANKLE CLINIC | EXPIRED | 2008-09-04 | 2013-12-31 | No data | 1824 BLANDING BLVD., JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 5911 Timuquana Road, Unit 300, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-25 | Baskin, Jeannie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 5911 Timuquana Road, Unit 300, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-22 | 5911 Timuquana Road, Unit 300, Jacksonville, FL 32210 | No data |
| NAME CHANGE AMENDMENT | 1999-03-29 | PODIATRY ASSOCIATES OF FLORIDA, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
