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RETINA CARE SPECIALISTS, PLLC

Company Details

Entity Name: RETINA CARE SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 May 2021 (4 years ago)
Last Event: CONVERSION
Event Date Filed: 06 May 2021 (4 years ago)
Document Number: L21000199766
FEI/EIN Number 20-8005671
Address: 3399 PGA Boulevard, Suite 350, Palm Beach Gardens, FL, 33410, US
Mail Address: 3399 PGA Boulevard, Suite 350, Palm Beach Gardens, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982275145 2021-07-08 2021-07-08 55 SE OSCEOLA ST STE 203, STUART, FL, 349942150, US 55 SE OSCEOLA ST STE 203, STUART, FL, 349942150, US

Contacts

Phone +1 772-871-9303

Authorized person

Name MARK MICHELS
Role PARTNERS
Phone 5616240099

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Agent

Name Role Address
PHILLIP W. LAIRD, M.D. Agent 3399 PGA BOULEVARD, SUITE 350, PALM BEACH GARDENS, FL, 33410

Manager

Name Role Address
Philip Laird Manager 3399 PGA Boulevard, Palm Beach Gardens, FL, 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-18 3399 PGA Boulevard, Suite 350, Palm Beach Gardens, FL 33410 No data
CHANGE OF MAILING ADDRESS 2024-03-18 3399 PGA Boulevard, Suite 350, Palm Beach Gardens, FL 33410 No data
CONVERSION 2021-05-06 No data GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP0700001117 ORIGINALLY FILED ON 07/16/2007. CONVERSION NUMBER 100000212771

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State