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EYE M.D. OF NICEVILLE SURGERY LLC - Florida Company Profile

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Company Details

Entity Name: EYE M.D. OF NICEVILLE SURGERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Feb 2021 (5 years ago)
Document Number: L21000084910
FEI/EIN Number 86-2163581
Address: 1480 HICKORY STREET, SUITE 106, NICEVILLE, FL, 32578, US
Mail Address: 1480 HICKORY STREET, SUITE 106, NICEVILLE, FL, 32578, US
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RUTTIG NATHANIEL J Manager 1480 HICKORY STREET; SUITE 106, NICEVILLE, FL, 32578
RUTTIG MARIA A Authorized Representative 1480 HICKORY STREET; SUITE 106, NICEVILLE, FL, 32578
RUTTIG NATHANIEL J Agent 1480 HICKORY STREET, NICEVILLE, FL, 32578

National Provider Identifier

NPI Number:
1841884731
Certification Date:
2021-02-22

Authorized Person:

Name:
MARIA RUTTIG
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8507600501

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-24
Florida Limited Liability 2021-02-19

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Date of last update: 01 Aug 2025

Sources: Florida Department of State