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RADIANT VISION EYECARE, LLC

Company Details

Entity Name: RADIANT VISION EYECARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 May 2022 (3 years ago)
Document Number: L22000217804
FEI/EIN Number 88-2194933
Address: 5517 S WILLIAMSON BLVD, STE 310, PORT ORANGE, FL, 32128, US
Mail Address: 1500 BEVILLE RD, STE 606, DAYTONA BEACH, FL, 32114, US
ZIP code: 32128
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568170827 2022-11-07 2022-11-07 1500 BEVILLE RD, SUITE 606, MAILBOX 369, DAYTONA BEACH, FL, 32114, US 5517 S WILLIAMSON BLVD STE 310, PORT ORANGE, FL, 321288310, US

Contacts

Phone +1 386-200-4501

Authorized person

Name MARISSA NICOTRA
Role OWNER
Phone 3862004501

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
NICOTRA MARISSA LDR. Agent 1500 BEVILLE RD, DAYTONA BEACH, FL, 32114

Manager

Name Role Address
NICOTRA MARISSA LDR Manager 1500 BEVILLE RD STE 606, DAYTONA BEACH, FL, 32114

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-03-05
Florida Limited Liability 2022-05-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State