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FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PAPPAS HARRY M Agent 160 BOSTON AVENUE, ALTAMONTE SPRS., FL, 32701

President

Name Role Address
PAPPAS HARRY RDr. President 641 BONITA DRIVE, WINTER PARK, FL, 32789

Medi

Name Role Address
PARKS ROSS Dr. Medi 896 BRIGHTWATER CIRCLE, MAITLAND, FL, 32751

Vice President

Name Role Address
Wang Catherine Dr. Vice President 1753 Lookout Landing, Winter Park, FL, 32789

Director

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

Treasurer

Name Role Address
JOCHUM JAMES Dr. Treasurer 2116 SILVER LEAF COURT, LONGWOOD, FL, 32779

Events

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