Entity Name: | FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Apr 1983 (42 years ago) |
Document Number: | G33872 |
FEI/EIN Number | 592303141 |
Address: | 160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL, 32701 |
Mail Address: | 160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL, 32701 |
ZIP code: | 32701 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073764106 | 2008-10-07 | 2008-10-07 | 160 BOSTON AVE, ALTAMONTE SPRINGS, FL, 327014706, US | 975 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 327638269, US | |||||||||||||||||||
|
Phone | +1 407-834-7776 |
Fax | 4078340973 |
Authorized person
Name | GEN PARM |
Role | ADMINISTRATOR |
Phone | 4078347776 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 945 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PAPPAS HARRY M | Agent | 160 BOSTON AVENUE, ALTAMONTE SPRS., FL, 32701 |
Name | Role | Address |
---|---|---|
PAPPAS HARRY RDr. | President | 641 BONITA DRIVE, WINTER PARK, FL, 32789 |
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 Lake Whitney Drive, Windemere, FL, 34786 |
Letbetter David RDr. | Director | 1415 S. Eola Drive, Orlando, FL, 32806 |
Name | Role | Address |
---|---|---|
JOCHUM JAMES Dr. | Treasurer | 2116 SILVER LEAF COURT, LONGWOOD, FL, 32779 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2002-09-19 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
RESTATED ARTICLES | 1992-07-06 | No data | No data |
REINSTATEMENT | 1986-05-07 | No data | No data |
INVOLUNTARILY DISSOLVED | 1984-11-21 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State