| Entity Name: | ESTERO RETINA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Aug 2014 (11 years ago) |
| Date of dissolution: | 06 Sep 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Sep 2018 (6 years ago) |
| Document Number: | L14000128845 |
| FEI/EIN Number | N/A |
| Address: | 8951 BONITA BEACH RD. STE. 525-298, BONITA SPRINGS, FL 34135 |
| Mail Address: | 8951 BONITA BEACH RD. STE. 525-298, BONITA SPRINGS, FL 34135 |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932500634 | 2014-09-12 | 2014-09-12 | 8951 BONITA BEACH RD SE STE 525-298, BONITA SPRINGS, FL, 341354201, US | 9500 CORKSCREW PALMS CIR, ESTERO, FL, 339283307, US | |||||||||||||||||
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| Phone | +1 321-222-3937 |
Authorized person
| Name | MS. KARLA KELLAM |
| Role | ADMINISTRATOR |
| Phone | 9047132126 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME105560 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ATTIA, HOSAM | Authorized Member | 23204 Marsh Landing Blvd., Estero, FL 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| VOLUNTARY DISSOLUTION | 2018-09-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-16 |
| Florida Limited Liability | 2014-08-18 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
