| Entity Name: | ALABATA EYE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jun 2017 (8 years ago) |
| Document Number: | L17000121313 |
| FEI/EIN Number | 82-1778074 |
| Address: | 239 Redstone Ave W, CRESTVIEW, FL, 32536, US |
| Mail Address: | 239 Redstone Ave W, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275047128 | 2017-11-29 | 2020-03-16 | 239 REDSTONE AVE W, CRESTVIEW, FL, 325366465, US | 239 REDSTONE AVE W, CRESTVIEW, FL, 325366465, US | |||||||||||||||||||||||||||
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| Phone | +1 850-331-3937 |
| Fax | 8506346136 |
Authorized person
| Name | DR. PHIL ALABATA |
| Role | PHYSICIAN OWNER |
| Phone | 8503313937 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | OS9285 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207WX0009X - Glaucoma Specialist (Ophthalmology) Physician |
| License Number | OS9285 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALABATA PHIL | Agent | 239 Redstone Ave W, CRESTVIEW, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| ALABATA PHIL | Manager | 239 Redstone Ave W, CRESTVIEW, FL, 32536 |
| ALABATA MICHELLE | Manager | 239 Redstone Ave W, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-03 | 239 Redstone Ave W, CRESTVIEW, FL 32536 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-03 | 239 Redstone Ave W, CRESTVIEW, FL 32536 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-03 | 239 Redstone Ave W, CRESTVIEW, FL 32536 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-04-07 |
| Florida Limited Liability | 2017-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
