| Entity Name: | VISION DOCTORS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L23000449699 |
| FEI/EIN Number | 93-3864247 |
| Mail Address: | 1315 SILK OAK DR., HOLLYWOOD, FL 33021 |
| Address: | 2734 Treasure Cove Cir, Fort Lauderdale, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588487458 | 2024-11-07 | 2024-11-07 | 1315 SILK OAK DR, HOLLYWOOD, FL, 330211367, US | 2734 TREASURE COVE CIR, FORT LAUDERDALE, FL, 333125605, US | |||||||||||||
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| Phone | +1 305-439-2015 |
Authorized person
| Name | DR. RYAN C VERXAGIO |
| Role | PRESIDENT / PROVIDER |
| Phone | 3054392015 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VERXAGIO, RYAN C, O.D. | Agent | 1315 SILK OAK DR., HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| VERXAGIO, RYAN C, O.D. | Manager | 1315 SILK OAK DR., HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| ZACZEK, COLLEEN N | Secretary | 1315 SILK OAK DR., HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| XUNA, KELVIN R | Authorized Representative | 3737 GREENWAY DR., HOLLYWOOD, FL 33021 |
| XUNA, JASON M, O.D. | Authorized Representative | 10451 NE 4TH AVE., MIAMI SHORES, FL 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 2734 Treasure Cove Cir, Fort Lauderdale, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Florida Limited Liability | 2023-09-28 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
