| Entity Name: | OPHTHALMOLOGY CENTER OF BREVARD LP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Partnership |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 31 Aug 1995 (30 years ago) |
| Last Event: | LP NAME CHANGE |
| Event Date Filed: | 27 Sep 2012 (12 years ago) |
| Document Number: | B95000000314 |
| FEI/EIN Number |
621546274
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 502 EAST NEW HAVEN, MELBOURNE, FL, 32901 |
| Mail Address: | 502 EAST NEW HAVEN, MELBOURNE, FL, 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164473922 | 2006-05-15 | 2023-07-19 | 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427, US | 719 E NEW HAVEN AVE, MELBOURNE, FL, 329015459, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-726-4024 |
| Fax | 3219849547 |
| Phone | +1 321-984-4405 |
Authorized person
| Name | DR. DAVID S WEISER |
| Role | PRESIDENT |
| Phone | 3217272020 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 800009870 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 079091500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARKER PATRICIA C | Agent | 502 EAST NEW HAVEN, MELBOURNE, FL, 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06103700057 | ASC OF BREVARD | ACTIVE | 2006-04-13 | 2026-12-31 | - | 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-19 | BARKER, PATRICIA C | - |
| LP NAME CHANGE | 2012-09-27 | THE OPHTHALMOLOGY CENTER OF BREVARD, L.P. | - |
| AMENDMENT | 2005-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-09-27 | 502 EAST NEW HAVEN, MELBOURNE, FL 32901 | - |
| CHANGE OF MAILING ADDRESS | 2005-09-27 | 502 EAST NEW HAVEN, MELBOURNE, FL 32901 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-09-27 | 502 EAST NEW HAVEN, MELBOURNE, FL 32901 | - |
| REINSTATEMENT | 2005-09-27 | - | - |
| REVOKED FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2948348906 | 2021-04-27 | 0455 | PPS | 517 E New Haven Ave, Melbourne, FL, 32901-5461 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4535057308 | 2020-04-29 | 0455 | PPP | 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901-5427 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
