| Entity Name: | BEYOND 2020 VISION SPECIALISTS EAST LAKE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jul 2024 (6 months ago) |
| Document Number: | L24000329320 |
| FEI/EIN Number | 99-3483739 |
| Mail Address: | 16230 STATE ROAD 54, ODESSA, FL 33556 |
| Address: | 4974 RIDGEMOOR BLVD, PALM HARBOR, FL 34685 |
| ZIP code: | 34685 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366275190 | 2024-08-26 | 2024-08-26 | 4974 RIDGEMOOR BLVD, PALM HARBOR, FL, 346851744, US | 4974 RIDGEMOOR BLVD, PALM HARBOR, FL, 346851744, US | |||||||||||||
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| Phone | +1 626-257-1249 |
Authorized person
| Name | DR. VICKY THAN |
| Role | AUTHORIZED OFFICIAL/PRESIDENT |
| Phone | 6262571249 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THAN, VICKY | Agent | 16230 STATE ROAD 54, ODESSA, FL 33556 |
| Name | Role | Address |
|---|---|---|
| THAN, VICKY | Manager | 16230 STATE ROAD 54, ODESSA, FL 33556 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-24 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
