| Entity Name: | MARK S. TRACY, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Jul 1991 (34 years ago) |
| Document Number: | S69735 |
| FEI/EIN Number | 65-0279853 |
| Address: | 17835 murdock circle, PORT CHARLOTTE, FL 33948 |
| Mail Address: | 3660 como st, PORT CHARLOTTE, FL 33948 |
| ZIP code: | 33948 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689847063 | 2008-04-08 | 2010-08-12 | 3028 CARING WAY, STE 9, PORT CHARLOTTE, FL, 339525300, US | 3028 CARING WAY, STE 9, PORT CHARLOTTE, FL, 339525300, US | |||||||||||||||||||||||
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| Phone | +1 941-627-6366 |
| Fax | 9416276677 |
Authorized person
| Name | DR. MARK S TRACY |
| Role | OWNER/DOCTOR |
| Phone | 9416276366 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO1878 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1962436030 |
| Name | Role | Address |
|---|---|---|
| BATSEL, MCKINLEY IGUNDERS | Agent | 18401 MURDOCK CIR., PT CHARLOTTE, FL 33948 |
| Name | Role | Address |
|---|---|---|
| TRACY, MARK S | Director | 3028 CARING WAY #9, PORT CHARLOTTE, FL 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-01 | 17835 murdock circle, PORT CHARLOTTE, FL 33948 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-01 | 17835 murdock circle, PORT CHARLOTTE, FL 33948 | No data |
| REGISTERED AGENT NAME CHANGED | 1994-04-19 | BATSEL, MCKINLEY IGUNDERS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-04-19 | 18401 MURDOCK CIR., PT CHARLOTTE, FL 33948 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
