| Entity Name: | PALM VALLEY EYE CARE AND SURGEONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM VALLEY EYE CARE AND SURGEONS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Sep 2018 (7 years ago) |
| Document Number: | L18000226293 |
| FEI/EIN Number |
83-2017069
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 151 SAWGRASS CORNERS DRIVE,, SUITE 208, PONTE VEDRA BEACH, FL, 32082, US |
| Mail Address: | 35 Executive Way, PONTE VEDRA BEACH, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184190720 | 2018-10-22 | 2019-01-15 | 151 SAWGRASS CORNERS DR STE 208, PONTE VEDRA BEACH, FL, 320823553, US | 151 SAWGRASS CORNERS DR STE 208, PONTE VEDRA BEACH, FL, 320823553, US | |||||||||||||||||||||
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| Phone | +1 904-712-3315 |
| Fax | 9047123316 |
Authorized person
| Name | MEGAN N SCOTT CARLTON |
| Role | MD/OWNER |
| Phone | 9047123315 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 722671 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCOTT CARLTON MEGAN N | Authorized Member | 21 MARIA PL, PONTE VEDRA BEACH, FL, 32082 |
| SCOTT CARLTON MEGAN N | Agent | 3220 Fiddler's Hammock Lane, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 151 SAWGRASS CORNERS DRIVE,, SUITE 208, PONTE VEDRA BEACH, FL 32082 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-01 | 3220 Fiddler's Hammock Lane, PONTE VEDRA BEACH, FL 32082 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-23 | 151 SAWGRASS CORNERS DRIVE,, SUITE 208, PONTE VEDRA BEACH, FL 32082 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-09-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5955277109 | 2020-04-14 | 0491 | PPP | 151 SAWGRASS CORNERS DR, PONTE VEDRA BEACH, FL, 32082-3553 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
