| Entity Name: | ROBSON EYE INSTITUTE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Nov 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Feb 2022 (3 years ago) |
| Document Number: | L19000289362 |
| FEI/EIN Number | 84-3757102 |
| Mail Address: | 555 Winderley Place, Maitland, FL, 32751, US |
| Address: | 601 S. Belcher Road, Clearwater, FL, 33764, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881230167 | 2019-11-21 | 2024-07-26 | 1911 N MILLS AVE, ORLANDO, FL, 328031407, US | 601 S BELCHER RD, CLEARWATER, FL, 337646301, US | |||||||||||||||||||||||||||
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| Phone | +1 727-266-2393 |
| Fax | 7272662330 |
Authorized person
| Name | CHAD TOMLINSON |
| Role | CHIEF OPERATING OFFICER |
| Phone | 4078938200 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113487000 |
| State | FL |
| Issuer | MEDICARE |
| Number | MC260 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| MAGRUDER EYE INSTITUTE, PLLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-02 | 601 S. Belcher Road, Clearwater, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-02 | 601 S. Belcher Road, Clearwater, FL 33764 | No data |
| LC AMENDMENT | 2022-02-03 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-03 | CORPORATION SERVICE COMPANY | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-11-01 | ROBSON EYE INSTITUTE, PLLC | No data |
| LC AMENDMENT | 2019-12-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-03 |
| LC Amendment | 2022-02-03 |
| LC Amendment and Name Change | 2021-11-01 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-04-09 |
| LC Amendment | 2019-12-17 |
| Florida Limited Liability | 2019-11-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
