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  5. AFFILIATED EYE SPECIALISTS, P.A.

AFFILIATED EYE SPECIALISTS, P.A. - Florida Company Profile

Company Details

Entity Name: AFFILIATED EYE SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AFFILIATED EYE SPECIALISTS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 Jul 1990 (35 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Feb 2017 (8 years ago)
Document Number: L87690
FEI/EIN Number 593021959

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 331 North Maitland Avenue, Maitland, FL, 32751, US
Mail Address: 331 North Maitland Avenue, Maitland, FL, 32751, US
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396897591 2007-01-17 2011-04-14 331 N MAITLAND AVE, STE B2, MAITLAND, FL, 327514753, US 331 N MAITLAND AVE, STE B2, MAITLAND, FL, 327514753, US

Contacts
Phone +1 407-740-0331
Fax 4075392747

Authorized person
Name MARC FRANKLIN SCHWARTZ
Role PRESIDENT
Phone 4077400331

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number MD0047068
State FL
Is Primary Yes

Other Provider Identifiers
Issuer CIGNA
Number 1226932007
Issuer BLUE CROSS BLUE SHIELD
Number 72948
Issuer RAILROAD MEDICARE
Number CA9128
Issuer AETNA
Number 2001142
Issuer MEDICARE PTAN
Number 72948
State FL
Issuer MEDICAID
Number 039944200
State FL
Issuer GHI
Number 13551
Issuer BLUE CROSS BLUE SHIELD IND
Number 96809
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2018 593021959 2019-02-22 AFFILIATED EYE SPECIALISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N MAITLAND AVE, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2017 593021959 2018-07-07 AFFILIATED EYE SPECIALISTS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N MAITLAND AVE, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2016 593021959 2018-07-07 AFFILIATED EYE SPECIALISTS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N MAITLAND AVE, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2016 593021959 2017-10-15 AFFILIATED EYE SPECIALISTS, P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N MAITLAND AVE, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2015 593021959 2016-08-26 AFFILIATED EYE SPECIALISTS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N MAITLAND AVE, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2014 593021959 2015-05-21 AFFILIATED EYE SPECIALISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2013 593021959 2014-05-23 AFFILIATED EYE SPECIALISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2012 593021959 2013-06-23 AFFILIATED EYE SPECIALISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2013-06-23
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2011 593021959 2012-07-01 AFFILIATED EYE SPECIALISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751

Plan administrator’s name and address
Administrator’s EIN 593021959
Plan administrator’s name AFFILIATED EYE SPECIALISTS, P.A.
Plan administrator’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751
Administrator’s telephone number 4077400331

Signature of
Role Plan administrator
Date 2012-07-01
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
AFFILIATED EYE SPECIALISTS, P.A. RETIREMENT & SAVINGS PLAN 2010 593021959 2011-10-08 AFFILIATED EYE SPECIALISTS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4077400331
Plan sponsor’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751

Plan administrator’s name and address
Administrator’s EIN 593021959
Plan administrator’s name AFFILIATED EYE SPECIALISTS, P.A.
Plan administrator’s address 311 N. MAITLAND AVENUE, B-2, MAITLAND, FL, 32751
Administrator’s telephone number 4077400331

Signature of
Role Plan administrator
Date 2011-10-08
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
AZIZ ANDY A President 331 North Maitland Avenue, Maitland, FL, 32751
AZIZ ANDY A Agent 1380 CAMDEN CT, CLERMONT, FL, 347114610

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-06 331 North Maitland Avenue, Suite B-2, Maitland, FL 32751 -
CHANGE OF MAILING ADDRESS 2023-01-06 331 North Maitland Avenue, Suite B-2, Maitland, FL 32751 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-06 1380 CAMDEN CT, Suite B2, CLERMONT, FL 34711-4610 -
AMENDMENT 2017-02-28 - -
REGISTERED AGENT NAME CHANGED 2017-02-28 AZIZ, ANDY A. -
NAME CHANGE AMENDMENT 2006-11-13 AFFILIATED EYE SPECIALISTS, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-17
Amendment 2017-02-28
ANNUAL REPORT 2017-01-14
ANNUAL REPORT 2016-03-03

Companies related by officers

No other companies in our directory share the same officers as AFFILIATED EYE SPECIALISTS, P.A.

Companies related by address

No other companies in our directory share the same address as AFFILIATED EYE SPECIALISTS, P.A.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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