| Entity Name: | CABANA EYES OPTICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CABANA EYES OPTICAL, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Oct 2016 (8 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L16000185649 |
| Address: | 4100 SOUTH FERDON BLVD., SUITE B5, CRESTVIEW, FL, 32536, US |
| Mail Address: | 4100 SOUTH FERDON BLVD., SUITE B5, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154867554 | 2017-01-10 | 2019-10-23 | 4100 S FERDON BLVD, SUITE B5, CRESTVIEW, FL, 325365252, US | 4100 S FERDON BLVD, SUITE B5, CRESTVIEW, FL, 325365252, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-306-2580 |
| Fax | 8504230142 |
| Phone | +1 850-758-0474 |
| Fax | 8508260057 |
Authorized person
| Name | MR. EDWARD MITCHELL JR. |
| Role | OWNER/ VISUAL RESOURCE DIRECTOR |
| Phone | 8507580474 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003088900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL EDWARD JR | Authorized Member | 4100 SOUTH FERDON BLVD. SUITE B5, CRESTVIEW, FL, 32536 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-10-05 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
