Entity Name: | OPHTHALMOLOGY CONSULTING SERVICES, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 04 Jun 2008 (17 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | L08000055043 |
FEI/EIN Number | 262798569 |
Address: | 2140 KINGSLEY AVE, STE 1, ORANGE PARK, FL, 32073 |
Mail Address: | 3543 SW 30TH WAY, #111, GAINESVILLE, FL, 32608 |
ZIP code: | 32073 |
County: | Clay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750511747 | 2009-07-23 | 2009-07-23 | 2140 KINGSLEY AVE, SUITE #1, ORANGE PARK, FL, 320735180, US | 2140 KINGSLEY AVE, SUITE #1, ORANGE PARK, FL, 320735180, US | |||||||||||||||||||||||||||
|
Phone | +1 904-272-7500 |
Fax | 9042727502 |
Authorized person
Name | DR. KARIM J SAMARA |
Role | PRESIDENT |
Phone | 9042727500 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 91598 |
State | FL |
Is Primary | No |
Taxonomy Code | 207W00000X - Ophthalmology Physician |
License Number | 91598 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MCCARTHY JANET R | Agent | 6160 ARLINGTON EXPRESSWAY, JACKSONVILLE, FL, 32211 |
Name | Role | Address |
---|---|---|
SAMARA KARIM J | Director | 2140 KINGSLEY AVE, STE1, ORANGE PARK, FL, 32073 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2009-01-19 | 2140 KINGSLEY AVE, STE 1, ORANGE PARK, FL 32073 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-04-02 |
ANNUAL REPORT | 2010-02-09 |
ANNUAL REPORT | 2009-01-19 |
Florida Limited Liability | 2008-06-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State