| Entity Name: | MICHAEL A. RASCATI, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Jul 1985 (40 years ago) |
| Document Number: | H65445 |
| FEI/EIN Number | 59-2571179 |
| Address: | 8491 NW 39th Ave., Gainesville, FL 32606 |
| Mail Address: | 11949 SW 33rd Lane, Gainesville, FL 32608 |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124296652 | 2008-02-19 | 2024-02-07 | 8491 NW 39TH AVE, GAINESVILLE, FL, 326065635, US | 8491 NW 39TH AVE, GAINESVILLE, FL, 326065635, US | |||||||||||||||||||||||
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| Phone | +1 352-493-2180 |
| Fax | 3524934862 |
| Fax | 3527926223 |
Authorized person
| Name | MICHAEL A RASCATI |
| Role | OPTOMETRIST |
| Phone | 3523311773 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 078380300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| rascati, michael a | Agent | 11949 sw 33rd lane, gainesville, FL 32608 |
| Name | Role | Address |
|---|---|---|
| RASCATI, MICHAEL A | Director | 11949 sw 33rd lane, gainesville, FL 32608 |
| Name | Role | Address |
|---|---|---|
| RASCATI, MICHAEL A | President | 11949 sw 33rd lane, gainesville, FL 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 8491 NW 39th Ave., Gainesville, FL 32606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-18 | 11949 sw 33rd lane, gainesville, FL 32608 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-23 | rascati, michael a | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-07-19 | 8491 NW 39th Ave., Gainesville, FL 32606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-04-04 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
