| Entity Name: | TAMPA EYE LASER CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 1999 (25 years ago) |
| Document Number: | L99000005870 |
| FEI/EIN Number | 593601101 |
| Address: | 4303 N Gomez Suite 100, TAMPA, FL, 33607, US |
| Mail Address: | 4303 N Gomez Suite 100, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053331801 | 2006-07-21 | 2020-08-22 | 2700 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076386, US | 2700 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076386, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-875-2745 |
Authorized person
| Name | JOHN B RICHARDSON |
| Role | ADMINISTRATOR |
| Phone | 8138772020 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS WILLIAM D | Agent | 3000 WEST DR. M.L. KING, JR. BLVD., TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| REYNOLDS WILLIAM D | Manager | 3000 WEST DR. M.L. KING, JR. BLVD., TAMPA, FL, 33607 |
| LEACH DAVID H | Manager | 3000 WEST DR. M.L. KING, JR. BLVD., TAMPA, FL, 33607 |
| LORENZEN TIMOTHY R | Manager | 3000 WEST DR. M.L. KING, JR. BLVD., TAMPA, FL, 33607 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
