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EYEDENTITY VISION LLC.

Company Details

Entity Name: EYEDENTITY VISION LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Aug 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 07 Sep 2023 (a year ago)
Document Number: L23000367600
FEI/EIN Number 93-2150237
Address: 7440 SW 136TH ST., PALMETTO BAY, FL, 33156, UN
Mail Address: 7440 SW 136TH ST., PALMETTO BAY, FL, 33156, UN
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073359642 2024-07-03 2024-07-03 7440 SW 136TH ST, MIAMI, FL, 331566856, US 7440 SW 136TH ST, MIAMI, FL, 331566856, US

Authorized person

Name DR. YARITZA M FLORES
Role OPTOMETRIST
Phone 7876192877

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
FLORES YARITZA M Agent 7440 SW 136TH ST., PALMETTO BAY, FL, 33156

Manager

Name Role Address
FLORES DANIEL Manager 7440 SW 136TH ST., PALMETTO BAY, FL, 33156
FLORES YARITZA M Manager 7440 SW 136 STREET, PALMETTO BAY, FL, 33156

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000069679 THE EYE CLUB ACTIVE 2024-06-04 2029-12-31 No data 7440 SW 136TH ST, MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-07 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
LC Amendment 2023-09-07
Florida Limited Liability 2023-08-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State