| Entity Name: | MACULA AND DIABETIC EYE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jul 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Sep 2009 (15 years ago) |
| Document Number: | L09000073680 |
| FEI/EIN Number | 270671710 |
| Address: | 5117 26TH ST W, STE B, BRADENTON, FL, 34207, US |
| Mail Address: | 5117 26TH ST W, STE B, BRADENTON, FL, 34207, US |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922333186 | 2009-10-06 | 2011-03-24 | 4916 26TH ST W, STE 200, BRADENTON, FL, 342071712, US | 4916 26TH ST W, STE 200, BRADENTON, FL, 342071712, US | |||||||||||||||||||||||
|
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| Phone | +1 941-567-4078 |
| Fax | 9418967878 |
Authorized person
| Name | PETER G LIVINGSTON |
| Role | PRESIDENT |
| Phone | 9415396779 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME102736 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | AN586Z |
| Name | Role | Address |
|---|---|---|
| Livingston Peter GDr. | Agent | 5117 26TH ST W, BRADENTON, FL, 34207 |
| Name | Role | Address |
|---|---|---|
| LIVINGSTON PETER GDr. | Managing Member | 5117 26TH ST W, BRADENTON, FL, 34207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | Livingston, Peter Graves, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 5117 26TH ST W, BRADENTON, FL 34207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-01 | 5117 26TH ST W, STE B, BRADENTON, FL 34207 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-01 | 5117 26TH ST W, STE B, BRADENTON, FL 34207 | No data |
| LC AMENDMENT | 2009-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000712640 | TERMINATED | 1000000725567 | MANATEE | 2016-10-28 | 2036-11-03 | $ 1,554.65 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
