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FLORIDA RETINA INSTITUTE, JAMES A. STAMAN, M.D., LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA RETINA INSTITUTE, JAMES A. STAMAN, M.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Nov 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 09 Nov 2022 (3 years ago)
Document Number: L22000478275
FEI/EIN Number 59-2009089
Address: 95 COLUMBIA STREET, ORLANDO, FL, 32806-1101, US
Mail Address: 95 COLUMBIA STREET, ORLANDO, FL, 32806-1101, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MAVROFRIDES ELIAS CM.D. Manager 95 COLUMBIA STREET, ORLANDO, FL, 328061101
Davidson David Agent 151 NW 1st Avenue, Delray Beach, FL, 33444

Unique Entity ID

Unique Entity ID:
MC1RH5W398A7
UEI Expiration Date:
2026-06-05

Business Information

Doing Business As:
FLORIDA RETINA INSTITUTE
Activation Date:
2025-06-09
Initial Registration Date:
2022-04-19

National Provider Identifier

NPI Number:
1447328026
Certification Date:
2024-04-17

Authorized Person:

Name:
REBECCA DIANE STUCKEY
Role:
ADMINISTRATIVE SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
4073676346

Legal Entity Identifier

LEI Number:
549300A6BYLOO5MENT02

Registration Details:

Initial Registration Date:
2013-04-09
Next Renewal Date:
2014-04-09
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000056750 FLORIDA RETINA GROUP ACTIVE 2025-04-28 2030-12-31 - 95 COLUMBIA STREET, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-03 Davidson, David -
REGISTERED AGENT ADDRESS CHANGED 2023-02-03 151 NW 1st Avenue, Delray Beach, FL 33444 -
CONVERSION 2022-11-09 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS 678054. CONVERSION NUMBER 700000232667

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-02-03
Florida Limited Liability 2022-11-08

Trademarks

Serial Number:
99173484
Mark:
FLORIDA RETINA GROUP
Status:
NEW APPLICATION - RECORD INITIALIZED NOT ASSIGNED TO EXAMINER
Mark Type:
SERVICE MARK
Application Filing Date:
2025-05-07
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FLORIDA RETINA GROUP

Goods And Services

For:
Medical services
First Use:
2025-05-05
International Classes:
044 - Primary Class
Class Status:
Active

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Date of last update: 02 Jul 2025

Sources: Florida Department of State