| Entity Name: | MINDFUL EYE HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Oct 2022 (2 years ago) |
| Document Number: | L22000452532 |
| FEI/EIN Number | 88-4202906 |
| Address: | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 |
| Mail Address: | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619718160 | 2024-06-06 | 2024-06-07 | 1080 SW FENWAY RD, PORT SAINT LUCIE, FL, 349532303, US | 1080 SW FENWAY RD, PORT SAINT LUCIE, FL, 349532303, US | |||||||||||||||||
|
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| Phone | +1 561-313-2807 |
Authorized person
| Name | SUSAN LYNCH PHILCOX |
| Role | OWNER |
| Phone | 5613132807 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PHILCOX, SUSAN | Agent | 1080 SW FENWAY RD., PORT ST. LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| PHILCOX, SUSAN | Authorized Member | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| Philcox, Gary | manager | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-02 | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-15 | 1080 SW Fenway Rd, PORT ST. LUCIE, FL 34953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-15 |
| Florida Limited Liability | 2022-10-20 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
