| Entity Name: | HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Sep 1992 (33 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | V68075 |
| FEI/EIN Number |
593147948
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1892 BELLAIR BLVD, ATTN: ED MALLARD III, ORANGE PARK, FL, 32073 |
| Mail Address: | 1892 BELLAIR BLVD, ATTN: ED MALLARD III, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568491421 | 2006-07-02 | 2010-01-26 | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US | |||||||||||||||||||||||
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| Phone | +1 904-825-0046 |
| Fax | 9048261586 |
Authorized person
| Name | MR. ED W MALLARD |
| Role | OWNER |
| Phone | 9048250046 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 340409900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. 401K PLAN | 2010 | 593147948 | 2011-10-13 | HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. | 20 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593147948 |
| Plan administrator’s name | HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. |
| Plan administrator’s address | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164 |
| Administrator’s telephone number | 9048250046 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | EDWARD MALLARD III |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9048250046 |
| Plan sponsor’s address | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164 |
Plan administrator’s name and address
| Administrator’s EIN | 593147948 |
| Plan administrator’s name | HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. |
| Plan administrator’s address | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164 |
| Administrator’s telephone number | 9048250046 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | EDWARD MALLARD III |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MALLARD III EDWARD W | President | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| MALLARD LESLIE P | Vice President | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| MALLARD LESLIE P | Treasurer | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| MALLARD LESLIE P | Secretary | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| MALLARD III EDWARD W | Agent | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09033900455 | HEALTH PARK MEDICAL | EXPIRED | 2009-02-02 | 2014-12-31 | - | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 32086 |
| G08207900105 | HEALTH PARK VEIN CENTER | EXPIRED | 2008-07-25 | 2013-12-31 | - | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 32086 |
| G08207900115 | HEALTH PARK ORTHOTICS, PROSTHETICS AND PEDORTHICS | EXPIRED | 2008-07-25 | 2013-12-31 | - | 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| REINSTATEMENT | 2010-11-17 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-11-17 | 1892 BELLAIR BLVD, ORANGE PARK, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2010-11-17 | 1892 BELLAIR BLVD, ATTN: ED MALLARD III, ORANGE PARK, FL 32073 | - |
| REGISTERED AGENT NAME CHANGED | 2010-11-17 | MALLARD III, EDWARD WIII | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-11-17 | 1892 BELLAIR BLVD, ATTN: ED MALLARD III, ORANGE PARK, FL 32073 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| AMENDMENT AND NAME CHANGE | 2005-08-11 | HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000173281 | LAPSED | 2010-CA-2645 | CLAY COUNTY CIRCUIT COURT | 2011-03-08 | 2016-03-22 | $42,201.11 | RIKCO INTERNATIONAL, LLC D/B/A DR. COMFORT, C/O WILLIAM M. LINDEMAN, P.A., POST OFFICE BOX 3506, ORLANDO, FL 32802 |
| J10000387339 | LAPSED | 2009-CA-1085 | ST. JOHNS CNTY CLERK OF CRT | 2009-09-22 | 2015-03-08 | $106,497.32 | JOSE M. CONCHA, 5540 SUNSENT LANDING CIRCLE, ST. AUGUSTINE, FL 32080 |
| J10000387313 | LAPSED | 2009-CA-1084 | ST. JOHNS CNTY CLERK OF CRT | 2009-09-22 | 2015-03-08 | $109,129.32 | RICHARD W.S. JOHNSON, 517 BAREFOOT TRACE CIRCLE, ST. AUGUSTINE, FL 32080 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2010-11-17 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-17 |
| Amendment and Name Change | 2005-08-11 |
| ANNUAL REPORT | 2005-04-14 |
| ANNUAL REPORT | 2004-10-05 |
| ANNUAL REPORT | 2003-07-25 |
| ANNUAL REPORT | 2002-05-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
