| Entity Name: | ALEXANDRA KEHOE, OD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Aug 2011 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jun 2020 (5 years ago) |
| Document Number: | L11000095377 |
| FEI/EIN Number | 453034863 |
| Address: | 7840 GLADES ROAD, BOCA RATON, FL, 33434, US |
| Mail Address: | 7840 GLADES ROAD, BOCA RATON, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740562628 | 2011-09-15 | 2013-01-29 | 7840 GLADES RD, SUITE 245, BOCA RATON, FL, 334344102, US | 7840 GLADES RD, SUITE 245, BOCA RATON, FL, 334344102, US | |||||||||||||||||||||||||
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| Phone | +1 561-482-8300 |
| Fax | 5614828381 |
Authorized person
| Name | DR. ALEXANDRA KEHOE |
| Role | OPTOMETRIST |
| Phone | 5614828300 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4614 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004090700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KEHOE ALEXANDRA N | Agent | 7840 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| KEHOE ALEXANDRA N | Managing Member | 7840 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| Bussa Steve Dr | Auth | 7840 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| BUSSA STEVE T | Manager | 7840 GLADES RD - STE. 245, BOCA RATON, FL, 33434 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000117294 | PREMIER EYE CENTER OF BOCA RATON | EXPIRED | 2012-12-06 | 2017-12-31 | No data | 210 NE 6TH AVE STE 101, DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-06-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-21 | KEHOE, ALEXANDRA N | No data |
| REINSTATEMENT | 2017-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-27 | 7840 GLADES ROAD, SUITE 245, BOCA RATON, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-27 | 7840 GLADES ROAD, SUITE 245, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-27 | 7840 GLADES ROAD, SUITE 245, BOCA RATON, FL 33434 | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-02-04 | ALEXANDRA KEHOE, OD PLLC | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-10-15 | KEHOE EYE CENTER, PLLC | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2102-03-26 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-31 |
| AMENDED ANNUAL REPORT | 2020-06-16 |
| LC Amendment | 2020-06-10 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
