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DR. MONA PATEL OD, LLC

Company Details

Entity Name: DR. MONA PATEL OD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Jun 2021 (4 years ago)
Document Number: L21000262083
FEI/EIN Number 87-1143275
Address: 651 Grand Panama Blvd,, B1-105, PANAMA CITY BEACH, FL 32407
Mail Address: PO BOX 27314, PANAMA CITY BEACH, FL 32411
ZIP code: 32407
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114690336 2021-07-26 2022-03-14 PO BOX 27314, PANAMA CITY, FL, 324117314, US 651 GRAND PANAMA BLVD # B1-105, PANAMA CITY BEACH, FL, 324073458, US

Contacts

Phone +1 312-890-3065

Authorized person

Name MONA PATEL
Role MANAGER
Phone 3128903065

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
PATEL, MONA Agent 1118 REDFISH CIRCLE, #27314, PANAMA CITY BEACH, FL 32408

Manager

Name Role Address
PATEL, MONA Manager 1118 REDFISH CIRCLE, #27314, PANAMA CITY BEACH, FL 32408

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000130507 THE EYE STUDIO ACTIVE 2021-09-28 2026-12-31 No data PO BOX 27314, PANAMA CITY BEACH, FL, 32411

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-13 651 Grand Panama Blvd,, B1-105, PANAMA CITY BEACH, FL 32407 No data

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-04-09
Florida Limited Liability 2021-06-07

Date of last update: 14 Jan 2025

Sources: Florida Department of State