| Entity Name: | RETINA MACULA INSTITUTE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Sep 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Apr 2024 (10 months ago) |
| Document Number: | L17000198331 |
| FEI/EIN Number | 82-5403276 |
| Mail Address: | 736 Ibis Way, North Palm Beach, FL 33408 |
| Address: | 2560 RCA Blvd, Suite 112, Palm Beach Gardens, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134832827 | 2022-12-28 | 2023-05-30 | 736 IBIS WAY, NORTH PALM BEACH, FL, 33408, US | 840 US-1, SUITE 430, NORTH PALM BEACH, FL, 33408, US | |||||||||||||||||
|
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| Phone | +1 908-420-5052 |
| Phone | +1 561-684-4773 |
| Fax | 5616849526 |
Authorized person
| Name | MR. JOSEPH T NEZGODA |
| Role | OWNER |
| Phone | 9084205052 |
Taxonomy
| Taxonomy Code | 207WX0107X - Retina Specialist (Ophthalmology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEZGODA, JOSEPH T | Agent | 736 Ibis Way, North Palm Beach, FL 33408 |
| Name | Role | Address |
|---|---|---|
| NEZGODA, JOSEPH | Manager | 736 Ibis Way, North Palm Beach, FL 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-05 | 2560 RCA Blvd, Suite 112, Palm Beach Gardens, FL 33410 | No data |
| REINSTATEMENT | 2024-04-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-11 | 1411 N Flagler Dr., Suite 4000, West Palm Beach, FL 33401 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2020-12-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-17 | 1411 N Flagler Dr., Suite 4000, West Palm Beach, FL 33401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-17 | 736 Ibis Way, North Palm Beach, FL 33408 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-30 | NEZGODA, JOSEPH T | No data |
| REINSTATEMENT | 2019-09-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| REINSTATEMENT | 2024-04-11 |
| ANNUAL REPORT | 2021-02-19 |
| REINSTATEMENT | 2020-12-17 |
| REINSTATEMENT | 2019-09-30 |
| Florida Limited Liability | 2017-09-25 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
