| Entity Name: | ROBERT R. MAUGER, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Feb 1986 (39 years ago) |
| Document Number: | J00393 |
| FEI/EIN Number | 59-2634767 |
| Address: | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831469162 | 2012-01-03 | 2012-01-03 | 120 PINE NEEDLE LN, ALTAMONTE SPRINGS, FL, 327145814, US | 120 PINE NEEDLE LN, ALTAMONTE SPRINGS, FL, 327145814, US | |||||||||||||||||||||||
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| Phone | +1 407-340-9080 |
Authorized person
| Name | DR. ROBERT R. MAUGER |
| Role | PRESIDENT |
| Phone | 4073409080 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 1854 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 078305600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAUGER, ROBERT R. | Agent | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| MAUGER, ROBERT R. | Director | 120 PINE NEEDLE LANE, ALTAMONTE SPRINGS, FL |
| Name | Role | Address |
|---|---|---|
| MAUGER, ROBERT R. | President | 120 PINE NEEDLE LANE, ALTAMONTE SPRINGS, FL |
| Name | Role | Address |
|---|---|---|
| MAUGER, ROBERT R. | Secretary | 120 PINE NEEDLE LANE, ALTAMONTE SPRINGS, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-03 | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1993-03-08 | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 1993-03-08 | 120 PINE NEEDLE LN., ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT NAME CHANGED | 1990-03-19 | MAUGER, ROBERT R. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-06 |
| AMENDED ANNUAL REPORT | 2015-09-29 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
