| Entity Name: | SSK OPHTHALMOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2021 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Jan 2022 (3 years ago) |
| Document Number: | L21000529373 |
| FEI/EIN Number | 87-4050688 |
| Address: | 1000 37th Place, Ste 101, VERO BEACH, FL, 32960, US |
| Mail Address: | 1000 37th Place, Ste 101, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306590443 | 2022-02-08 | 2023-12-31 | 1000 37TH PL STE 101, VERO BEACH, FL, 329606579, US | 1000 37TH PL STE 101, VERO BEACH, FL, 329606579, US | |||||||||||||
|
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| Phone | +1 772-758-1000 |
Authorized person
| Name | SARAH KHODADADEH |
| Role | OWNER |
| Phone | 7727581000 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBERT PADGETT L | Agent | 207 CONN WAY, VERO BEACH, FL, 329631436 |
| Name | Role | Address |
|---|---|---|
| KHODADADEH SARAH S | Manager | 1000 37th Place, VERO BEACH, FL, 32960 |
| PADGETT ROBERT LIII | Manager | 10315 102nd Ter, Sebastian, FL, 32958 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000017961 | PANACEA EYE CENTER | ACTIVE | 2022-02-12 | 2027-12-31 | No data | 1000 37TH PLACE, SUITE 101, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-29 | 207 CONN WAY, VERO BEACH, FL 32963-1436 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-07 | 1000 37th Place, Ste 101, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-07 | 1000 37th Place, Ste 101, VERO BEACH, FL 32960 | No data |
| LC NAME CHANGE | 2022-01-06 | SSK OPHTHALMOLOGY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-07 |
| LC Name Change | 2022-01-06 |
| Florida Limited Liability | 2021-12-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
