Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pasco
    4. ›
  4. 33544
    5. ›
  5. SEASHORE RETINA LLC

SEASHORE RETINA LLC

Company Details

Entity Name: SEASHORE RETINA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 May 2014 (11 years ago)
Document Number: L14000081317
FEI/EIN Number 46-5713657
Address: 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544, US
Mail Address: 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544, US
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225440365 2014-05-23 2014-05-23 11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL, 346682213, US 11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL, 346682213, US

Contacts
Phone +1 216-235-7061

Authorized person
Name AHMAD B TARABISHY
Role MANAGER
Phone 2162357061

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME117051
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2023 465713657 2024-10-14 SEASHORE RETINA LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 2400 CYPRESS GLEN DRIVE, WESLEY CHAPEL, FL, 33544
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2022 465713657 2023-06-14 SEASHORE RETINA LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-14
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2021 465713657 2022-06-10 SEASHORE RETINA LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-10
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2020 465713657 2021-04-13 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing MORNINGSTAR
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2019 465713657 2020-05-05 SEASHORE RETINA LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-05
Name of individual signing RETINA SPECIALIST OF TAMPA
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2018 465713657 2019-05-23 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing PHAEDRA LUND, COE
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2017 465713657 2018-07-05 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing PHAEDRA LUND, COE
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2016 465713657 2017-06-20 SEASHORE RETINA LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing PHAEDRA LUND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TARABISHY AHMAD B Agent 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544

Manager

Name Role Address
TARABISHY AHMAD Manager 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000033587 RETINA SPECIALISTS OF TAMPA EXPIRED 2015-04-02 2020-12-31 No data 26851 TANIC DR., SUITE 102, WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-26 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 No data
CHANGE OF PRINCIPAL ADDRESS 2022-05-12 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 No data
CHANGE OF MAILING ADDRESS 2022-05-12 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 No data

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-03-20

Related by officers

TARABISHY AHMAD

NORTH STAR SURGICAL INSTRUMENTS LLC DOUGHNATIONS INC. DR. AHMAD TARABISHY PLLC FLORIDA MUSLIM PAC CORP

TARABISHY AHMAD B

FLORIDA RETINA & UVEITIS, LLC AL-AMEEN PARTNERS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated