| Entity Name: | PREMIER EYE CARE OF FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Dec 1994 (30 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 17 Oct 2014 (10 years ago) |
| Document Number: | M94000000176 |
| FEI/EIN Number | 65-0540341 |
| Address: | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL 33487 |
| Mail Address: | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932363934 | 2008-07-18 | 2016-06-27 | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL, 334878279, US | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL, 334878279, US | |||||||||||||||||||||
|
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| Phone | +1 561-455-9002 |
| Fax | 8005233788 |
Authorized person
| Name | JASON PANOS |
| Role | COO |
| Phone | 5614559002 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010177700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Rodriguez, Alberto | Agent | 2001 S. Andrews Ave, Fort Lauderdale, FL 33316 |
| Name | Role |
|---|---|
| EYE MANAGEMENT, LLC | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000098151 | PREMIER EYE CARE | ACTIVE | 2012-10-08 | 2027-12-31 | No data | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-26 | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-26 | 6501 PARK OF COMMERCE BLVD, FIRST FLOOR, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-07 | Rodriguez, Alberto | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-07 | 2001 S. Andrews Ave, Fort Lauderdale, FL 33316 | No data |
| LC NAME CHANGE | 2014-10-17 | PREMIER EYE CARE OF FLORIDA, L.L.C. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
