| Entity Name: | SEEWELL FAMILY VISION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2018 (7 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 17 Sep 2018 (6 years ago) |
| Document Number: | L18000066727 |
| FEI/EIN Number | 82-4774415 |
| Address: | 107 CAMDEN ROAD, ALTAMONTE SPRINGS, FL, 32714, US |
| Mail Address: | 107 CAMDEN ROAD, ALTAMONTE SPRINGS, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518457951 | 2018-05-11 | 2019-07-10 | 107 CAMDEN RD, ALTAMONTE SPRINGS, FL, 327142644, US | 612 S HUNT CLUB BLVD, APOPKA, FL, 327034958, US | |||||||||||||||||||||||
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| Phone | +1 321-279-6885 |
Authorized person
| Name | DR. ROBERT PRADO |
| Role | MANAGER |
| Phone | 3212796885 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | OPC2408 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100960100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRADO ROBERT | Agent | 107 CAMDEN ROAD, ALTAMONTE SPRINGS, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| PRADO ROBERT | Manager | 107 CAMDEN ROAD, ALTAMONTE SPRINGS, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2018-09-17 | SEE WELL FAMILY VISION, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-15 |
| LC Name Change | 2018-09-17 |
| Florida Limited Liability | 2018-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
