| Entity Name: | EYE M.D. OF NICEVILLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Oct 2015 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Dec 2015 (9 years ago) |
| Document Number: | L15000177062 |
| FEI/EIN Number | 47-5419203 |
| Address: | 1480 HICKORY STREET, SUITE #104, NICEVILLE, FL 32578 |
| Mail Address: | 1480 HICKORY STREET, SUITE #104, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962875823 | 2015-11-01 | 2015-11-01 | 1480 HICKORY ST, SUITE #104, NICEVILLE, FL, 325788846, US | 1480 HICKORY ST, SUITE #104, NICEVILLE, FL, 325788846, US | |||||||||||||||||
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| Phone | +1 850-933-8318 |
Authorized person
| Name | DR. NATHANIEL JACOB RUTTIG |
| Role | PRINCIPAL MANAGER |
| Phone | 8509338318 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME116522 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUTTIG, NATHANIEL J | Agent | 1480 Hickory Street, #104, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| RUTTIG, NATHANIEL J | Manager | 1480 HICKORY STREET, SUITE #104 NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| RUTTIG, MARIA A | AUTHORIZED AGENT | 1480 HICKORY STREET, SUITE #104 NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-09 | 1480 Hickory Street, #104, NICEVILLE, FL 32578 | No data |
| LC AMENDMENT | 2015-12-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-05-09 |
| LC Amendment | 2015-12-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2433567210 | 2020-04-16 | 0491 | PPP | 1480 HICKORY ST, NICEVILLE, FL, 32578 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5715918304 | 2021-01-25 | 0491 | PPS | 1480 Hickory St, Niceville, FL, 32578-8846 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
