| Entity Name: | JOHNSON EYECARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Jan 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000018675 |
| FEI/EIN Number | 82-4050256 |
| Address: | 15661 SAN CARLOS BLVD., FORT MYERS, FL 33908 |
| Mail Address: | 15361 Floresta Ln, Fort Myers, FL 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275015133 | 2018-09-06 | 2018-09-06 | 8584 BIG MANGROVE DR, FORT MYERS, FL, 339087694, US | 15661 SAN CARLOS BLVD, FORT MYERS, FL, 339082797, US | |||||||||||||||||||||||
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| Phone | +1 339-221-4549 |
Authorized person
| Name | DR. SARAH ANN JOHNSON |
| Role | OWNER |
| Phone | 3392214549 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | OPC4329 |
| State | ZZ |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 720219 |
| State | FL |
| Name | Role |
|---|---|
| FISHER LAW OFFICE, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| Johnson, Sarah Ann | Owner | 15361 Floresta Ln, Fort Myers, FL 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 15661 SAN CARLOS BLVD., FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-09-27 | 13031 MCGREGOR BLVD, STE 13, FT MYERS, FL 33919 | No data |
| LC AMENDMENT | 2018-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-18 | 15661 SAN CARLOS BLVD., FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-01-10 |
| LC Amendment | 2018-09-24 |
| Florida Limited Liability | 2018-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1951157701 | 2020-05-01 | 0455 | PPP | 15661 SAN CARLOS BLVD UNIT 4, FORT MYERS, FL, 33908 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
