| Entity Name: | VALENTINE EYE CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Mar 2016 (9 years ago) |
| Date of dissolution: | 20 Feb 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Feb 2021 (4 years ago) |
| Document Number: | L16000051164 |
| FEI/EIN Number | 81-1871282 |
| Address: | 16970-105 SAN CARLOS BLVD., FORT MYERS, FL 33908 |
| Mail Address: | 16970-105 SAN CARLOS BLVD., FORT MYERS, FL 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508382771 | 2017-08-18 | 2017-12-07 | 16970 SAN CARLOS BLVD STE 105, FORT MYERS, FL, 339081225, US | 16970 SAN CARLOS BLVD STE 105, FORT MYERS, FL, 339081225, US | |||||||||||||||||||||||||||||
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| Phone | +1 239-466-2010 |
| Fax | 2394662015 |
Authorized person
| Name | DANIEL VALENTINE |
| Role | OWNER |
| Phone | 2398222186 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2134 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE JURISDICTION B DME MAC (DMERC) |
| Number | 5285190001 |
| Issuer | LICENSE |
| Number | OPC2134 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Valentine, Daniel Craig | Authorized Member | 16970-105 SAN CARLOS BLVD., FORT MYERS, FL 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| VOLUNTARY DISSOLUTION | 2021-02-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-20 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-03 |
| Florida Limited Liability | 2016-03-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6400727702 | 2020-05-01 | 0455 | PPP | 16970 SAN CARLOS BLVD STE 105, FORT MYERS, FL, 33908-1225 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
