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CENTRAL FLORIDA EYE CARE, LLC

Company Details

Entity Name: CENTRAL FLORIDA EYE CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jul 2002 (23 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Jan 2014 (11 years ago)
Document Number: L02000018766
FEI/EIN Number 550788662
Address: 1627 Gay Dr, Orlando, FL, 32803, US
Mail Address: 1627 Gay Dr, Orlando, FL, 32803, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760696207 2007-05-10 2016-02-18 813 KENILWORTH TER, ORLANDO, FL, 328033902, US 122 E CENTRAL AVE, WINTER HAVEN, FL, 338806308, US

Contacts

Phone +1 863-294-2332
Fax 8632942334

Authorized person

Name DR. SCOTT EVAN KLEIN
Role MANAGING PARTNER
Phone 8632942332

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number OS-0006614
State FL
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD MEDICARE
Number DG7963
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2022 550788662 2023-06-01 CENTRAL FLORIDA EYE CARE, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4079737066
Plan sponsor’s address 1627 GAY DR, ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2023-06-01
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2021 550788662 2022-05-24 CENTRAL FLORIDA EYE CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 122 E CENTRAL AVE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2022-05-24
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2020 550788662 2021-06-09 CENTRAL FLORIDA EYE CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 122 E CENTRAL AVE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2019 550788662 2020-06-30 CENTRAL FLORIDA EYE CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 122 E CENTRAL AVE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2018 550788662 2019-05-21 CENTRAL FLORIDA EYE CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 122 E CENTRAL AVE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2019-05-21
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2017 550788662 2018-06-13 CENTRAL FLORIDA EYE CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 122 E CENTRAL AVE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2018-06-13
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2016 550788662 2017-05-30 CENTRAL FLORIDA EYE CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 813 KENILWORTH TERRACE, ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2017-05-30
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2015 550788662 2016-07-07 CENTRAL FLORIDA EYE CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 813 KENILWORTH TERRACE, ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2016-07-07
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2014 550788662 2015-06-23 CENTRAL FLORIDA EYE CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 813 KENILWORTH TERRACE, ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2015-06-23
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA EYE CARE, LLC 401(K) PROFIT SHARING PLAN & TRU 2013 550788662 2014-05-27 CENTRAL FLORIDA EYE CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8632942332
Plan sponsor’s address 813 KENILWORTH TERRACE, ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2014-05-27
Name of individual signing SUSANA KLEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KLEIN SCOTT E Agent 1627 Gay Dr, Orlando, FL, 32803

Managing Member

Name Role Address
Klein Scott E Managing Member 1627 Gay Dr, Orlando, FL, 32803
Klein Susana Managing Member 1627 Gay Dr, Orlando, FL, 32803

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 1627 Gay Dr, Orlando, FL 32803 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 1627 Gay Dr, Orlando, FL 32803 No data
CHANGE OF MAILING ADDRESS 2023-01-30 1627 Gay Dr, Orlando, FL 32803 No data
REINSTATEMENT 2014-01-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
LC AMENDMENT AND NAME CHANGE 2007-03-15 CENTRAL FLORIDA EYE CARE, LLC No data
CANCEL ADM DISS/REV 2007-03-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State