| Entity Name: | DR. SHANNON JOSEPH O.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jun 2016 (9 years ago) |
| Document Number: | L16000120699 |
| FEI/EIN Number | 81-3085461 |
| Address: | 825 CRESTVIEW CIRCLE, WESTON, FL 33327 |
| Mail Address: | 304 INDIAN TRACE, SUITE #718, WESTON, FL 33326 |
| ZIP code: | 33327 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093260903 | 2016-08-20 | 2016-08-20 | 304 INDIAN TRCE, #718, WESTON, FL, 333262996, US | 12801 W SUNRISE BLVD, SUNRISE, FL, 333234020, US | |||||||||||||||||
|
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| Phone | +1 954-895-2530 |
Authorized person
| Name | SHANNON JOSEPH |
| Role | DOCTOR OF OPTOMETRY |
| Phone | 9548952530 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC5208 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH, SHANNON | Agent | 825 CRESTVIEW CIRCLE, WESTON, FL 33327 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, SETA | Manager | 304 INDIAN TRACE, SUITE #718 WESTON, FL 33326 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, SHANNON | Member | 304 INDIAN TRACE, SUITE #718 WESTON, FL 33326 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000101521 | SUPER VISION OPTOMETRY | ACTIVE | 2016-09-15 | 2027-12-31 | No data | 304 INDIAN TRACE, # 718, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 825 CRESTVIEW CIRCLE, WESTON, FL 33327 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 825 CRESTVIEW CIRCLE, WESTON, FL 33327 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 825 CRESTVIEW CIRCLE, WESTON, FL 33327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-06-22 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
