| Entity Name: | OCULUS HEALTH MANAGEMENT LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000032516 |
| Address: | 867 HANOVER WAY, LAKELAND, FL, 33813, US |
| Mail Address: | 867 HANOVER WAY, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306297650 | 2016-06-28 | 2016-06-28 | 1808 JIM REDMAN PKWY, #117, PLANT CITY, FL, 335636914, US | 2602 JIM REDMAN PKWY, PLANT CITY, FL, 335669460, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-752-5838 |
| Fax | 8137544432 |
| Phone | +1 863-608-5330 |
Authorized person
| Name | DR. ROY BRUCE |
| Role | OPTOMETRIST |
| Phone | 8636085330 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC1905 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 078599700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HILL CHAD | Agent | 1724 PARK RD, LAKELAND, FL, 33803 |
| Name | Role |
|---|---|
| ENDOWED ENTERPRISES LLC | Authorized Member |
| LTL HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
