| Entity Name: | SUDDUTH VISION PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Nov 2017 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000245210 |
| FEI/EIN Number | 82-3594925 |
| Address: | 8000 PARRAMORE ROAD, JACKSONVILLE, FL 32244 |
| Mail Address: | 8000 PARRAMORE ROAD, JACKSONVILLE, FL 32244 |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447765748 | 2017-12-08 | 2017-12-08 | 4538 POLARIS ST, JACKSONVILLE, FL, 322055025, US | 8000 PARRAMORE RD., JACKSONVILLE, FL, 32244, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 206-419-5166 |
Authorized person
| Name | DR. BRANDON KIM SUDDUTH |
| Role | OWNER/OPTOMETRIST |
| Phone | 2064195166 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4882 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1316370414 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIZEMORE, MARK F | Agent | 6550 ST AUGUSTINE ROAD, SUITE 304, JACKSONVILLE, FL 32217 |
| Name | Role | Address |
|---|---|---|
| SUDDUTH, BRANDON | Authorized Member | 8000 PARRAMORE ROAD, JACKSONVILLE, FL 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-26 |
| Florida Limited Liability | 2017-11-29 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
