| Entity Name: | FLORIDA EYE CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Oct 1973 (51 years ago) |
| Document Number: | 604774 |
| FEI/EIN Number | 591493386 |
| Address: | 160 BOSTON AVE., ALTAMONTE SPRINGS, FL, 32701, US |
| Mail Address: | 160 BOSTON AVE., ALTAMONTE SPRINGS, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033366349 | 2008-08-19 | 2008-08-19 | 160 BOSTON AVE, ALTAMONTE SPRINGS, FL, 327014706, US | 330 CANAL ST, NEW SMYRNA BEACH, FL, 321687008, US | |||||||||||||||
|
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| Phone | +1 407-834-7776 |
| Fax | 4078340973 |
Authorized person
| Name | GEN PARM |
| Role | ADMINISTRATOR |
| Phone | 4078347776 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAPPAS HARRY | Agent | 160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| PAPPAS HARRY Dr. | President | 641 BONITA DRIVE, WINTER PARK, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| JOCHUM JAMES Dr. | Secretary | 2116 SILVER LEAF COURT, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| PARKS ROSS Dr. | Medi | 896 BRIGHTWATER CIRCLE, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| Wang Catherine Dr. | Vice President | 1753 Lookout Landing, Winter Park, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| Nguyen Myhanh Dr. | Director | 1526 Lakw Whitney Crive, Windermere, FL, 34786 |
| LETBETTER DAVID Dr. | Director | 1415 S Eola Dr, ORLANDO, FL, 32806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000119991 | FAMILY EYE CARE CENTER | ACTIVE | 2013-12-09 | 2028-12-31 | No data | 160 BOSTON AVE., ALTAMONTE SPRINGS, FL, 32701 |
| G11000043054 | LENSEND | EXPIRED | 2011-05-03 | 2016-12-31 | No data | 160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL, 32701 |
| G08134900243 | FLORIDA EYE CLINIC | ACTIVE | 2008-05-13 | 2028-12-31 | No data | 160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2002-09-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-11-17 | FLORIDA EYE CLINIC, P.A. | No data |
| NAME CHANGE AMENDMENT | 1984-04-26 | FLORIDA EYE CLINIC, DRS. SHAPIRO & ISLER, P.A. | No data |
| NAME CHANGE AMENDMENT | 1981-11-17 | ALTAMONTE EYE CLINIC-DRS. SHAPIRO AND ISLER, M.D., P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
