| Entity Name: | J. CARSON WOOLWINE O.D. PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jul 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Oct 2020 (4 years ago) |
| Document Number: | L16000133891 |
| FEI/EIN Number | 81-3303598 |
| Address: | 5107 ALICE RD., TAMPA, FL, 33624 |
| Mail Address: | 1713 mill run circle, TAMPA, FL, 33613, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548789951 | 2017-09-18 | 2017-09-18 | 912 S. MISSOURI AVE., CLEARWATER, FL, 33756, US | 912 S. MISSOURI AVE., CLEARWATER, FL, 33756, US | |||||||||||||||||
|
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| Phone | +1 727-443-6493 |
Authorized person
| Name | DR. JOSHUA CARSON WOOLWINE |
| Role | OPTOMETRIST |
| Phone | 8132705929 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | 5248 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOOLWINE JOSHUA C | Agent | 5107 ALICE RD., TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| Woolwine Joshua CDr. | Chief Executive Officer | 5107 ALICE RD., TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-06 | 5107 ALICE RD., TAMPA, FL 33624 | No data |
| REINSTATEMENT | 2020-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-01-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-15 | WOOLWINE, JOSHUA C | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-10 |
| REINSTATEMENT | 2020-10-09 |
| REINSTATEMENT | 2019-01-15 |
| ANNUAL REPORT | 2017-04-08 |
| Florida Limited Liability | 2016-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
