| Entity Name: | AMBULATORY ANKLE & FOOT CENTER OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Oct 1990 (34 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | S07532 |
| FEI/EIN Number | 59-3035816 |
| Address: | 1506 Sunset Pointe Place, Kissimmee, FL 34744 |
| Mail Address: | 1506 Sunset Pointe Place, Kissimmee, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508887704 | 2006-07-22 | 2014-10-07 | 3670 MAGUIRE BLVD, SUITE 220, ORLANDO, FL, 328033071, US | 1509 S ORANGE AVE, ORLANDO, FL, 328062116, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 407-423-1234 |
| Fax | 4075171040 |
| Phone | +1 407-836-6155 |
| Fax | 4078390189 |
Authorized person
| Name | GREGORY J RENTON |
| Role | CEO |
| Phone | 4074231234 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 740 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 079077000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RENTON, GREGORY J | Agent | 3608 Beech Tree Drive, Orlando, FL 32835 |
| Name | Role | Address |
|---|---|---|
| MOATS, DAVID B | President | 1506 Sunset Pointe Place, Kissimmee, FL 34744 |
| Name | Role | Address |
|---|---|---|
| RENTON, GREGORY J | Secretary | 3608 Beech Tree Drive, Orlando, FL 32835 |
| Name | Role | Address |
|---|---|---|
| RENTON, GREGORY J | Treasurer | 3608 Beech Tree Drive, Orlando, FL 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-07 | 1506 Sunset Pointe Place, Kissimmee, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-07 | 1506 Sunset Pointe Place, Kissimmee, FL 34744 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-07 | 3608 Beech Tree Drive, Orlando, FL 32835 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-03-06 | RENTON, GREGORY J | No data |
| REINSTATEMENT | 1995-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-21 |
| AMENDED ANNUAL REPORT | 2019-05-20 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-03-28 |
| ANNUAL REPORT | 2013-06-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
