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SANDHILL OCULAR PROSTHETICS LLC - Florida Company Profile

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Company Details

Entity Name: SANDHILL OCULAR PROSTHETICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jun 2024 (a year ago)
Document Number: L24000271261
FEI/EIN Number 99-3559068
Address: 112 Treemonte Drive, Orange City, FL, 32763, US
Mail Address: 112 Treemonte Drive, Orange City, FL, 32763, US
ZIP code: 32763
City: Orange City
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MALOUIN KORI J Authorized Member 2565 MORGAN RD, DELAND, FL, 32720
- Agent -

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
386-244-9773
Contact Person:
KORI MALOUIN
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P3418207
Trade Name:
SANDHILL OCULAR PROSTHETICS

Unique Entity ID

Unique Entity ID:
X64XD8EZJW61
CAGE Code:
13K47
UEI Expiration Date:
2026-06-25

Business Information

Doing Business As:
SANDHILL OCULAR PROSTHETICS
Activation Date:
2025-06-26
Initial Registration Date:
2025-06-23

National Provider Identifier

NPI Number:
1649094699
Certification Date:
2025-03-26

Authorized Person:

Name:
KORI JAHRLING MALOUIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
156FX1700X - Ocularist
Is Primary:
Yes

Contacts:

Fax:
3862449773

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-18 112 Treemonte Drive, Orange City, FL 32763 -
CHANGE OF MAILING ADDRESS 2024-09-18 112 Treemonte Drive, Orange City, FL 32763 -

Documents

Name Date
Florida Limited Liability 2024-06-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State