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EMERALD COAST EYE INSTITUTE, LLC

Company Details

Entity Name: EMERALD COAST EYE INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 26 Feb 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Oct 2016 (8 years ago)
Document Number: M10000000912
FEI/EIN Number 593348023
Mail Address: 4506 Olde Plantation Place, Destin, FL, 32541, US
Address: 911 Mar Walt Dr, FT. WALTON BEACH, FL, 32547, US
ZIP code: 32547
County: Okaloosa
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164638680 2007-05-14 2023-11-06 911 MAR WALT DR, FORT WALTON BEACH, FL, 325476705, US 911 MAR WALT DR, FORT WALTON BEACH, FL, 325476705, US

Contacts

Phone +1 850-862-4001
Fax 8508621612

Authorized person

Name NOREEN POPPELL
Role ADMINISTRATOR
Phone 8508624001

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
POPPELL Noreen A Agent 4506 Olde Plantation Pl, Destin, FL, 32541

Manager

Name Role Address
POPPELL Noreen A Manager 911 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-25 911 Mar Walt Dr, FT. WALTON BEACH, FL 32547 No data
CHANGE OF MAILING ADDRESS 2023-04-11 911 Mar Walt Dr, FT. WALTON BEACH, FL 32547 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-11 4506 Olde Plantation Pl, Destin, FL 32541 No data
REGISTERED AGENT NAME CHANGED 2021-04-09 POPPELL, Noreen A No data
LC AMENDMENT 2016-10-11 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-27
LC Amendment 2016-10-11
ANNUAL REPORT 2016-01-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State