| Entity Name: | MOBILE VISION DOCTORS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
MOBILE VISION DOCTORS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Jul 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2019 (5 years ago) |
| Document Number: | L12000089329 |
| FEI/EIN Number |
38-3880200
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2734 Treasure Cove Cir., Fort Lauderdale, FL 33312 |
| Mail Address: | 1315 Silk Oak Dr., Hollywood, FL 33021 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1851648026 | 2012-08-07 | 2023-02-26 | 1315 SILK OAK DR, HOLLYWOOD, FL, 330211367, US | 1315 SILK OAK DR, HOLLYWOOD, FL, 330211367, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-439-2015 |
| Fax | 3055039250 |
Authorized person
| Name | DR. RYAN CARLO VERXAGIO |
| Role | OWNER/MANAGER |
| Phone | 3054392015 |
Taxonomy
| Taxonomy Code | 152WL0500X - Low Vision Rehabilitation Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1124642269 |
| State | FL |
| Issuer | NPI (SAME COMPANY, DIFFERENT COUNTY) BROWARD FLORIDA |
| Number | 1356697064 |
| State | FL |
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1528342631 |
| State | FL |
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1194014845 |
| State | FL |
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1669432969 |
| State | FL |
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1700520608 |
| State | FL |
| Issuer | MEDICAID |
| Number | 024018600 |
| State | FL |
| Issuer | NPI OF ONE OF THE PROVIDERS OF THE GROUP |
| Number | 1831682178 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VERXAGIO, RYAN C, Dr. | Agent | 1315 Silk Oak Dr., Hollywood, FL 33021 |
| VERXAGIO, RYAN C, Dr. | Manager | 1315 Silk Oak Dr., Hollywood, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 2734 Treasure Cove Cir., Fort Lauderdale, FL 33312 | - |
| REINSTATEMENT | 2019-10-02 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-10-02 | 2734 Treasure Cove Cir., Fort Lauderdale, FL 33312 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-02 | 1315 Silk Oak Dr., Hollywood, FL 33021 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-11 | VERXAGIO, RYAN C, Dr. | - |
| LC AMENDMENT | 2012-07-30 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000039099 | TERMINATED | 1000000941812 | BROWARD | 2023-01-20 | 2033-01-25 | $ 1,004.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-06-01 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-05 |
| REINSTATEMENT | 2019-10-02 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-01-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2117817407 | 2020-05-05 | 0455 | PPP | 1315 Silk Oak Dr., Hollywood, FL, 33021 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
