| Entity Name: | FRANK TANAKA, OCULARIST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Aug 1988 (36 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | M95579 |
| FEI/EIN Number | 59-2908577 |
| Address: | 704 Loma Linda Ct, BRANDON, FL 33511 |
| Mail Address: | 704 Loma Linda Ct, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FRANK TANAKA, OCULARIST, INC., MINNESOTA | 9f17c1f1-b6d4-e011-a886-001ec94ffe7f | MINNESOTA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104026061 | 2007-07-19 | 2008-03-13 | 3000 E FLETCHER AVE, SUITE 310, TAMPA, FL, 336134645, US | 1385 W STATE ROAD 434, SUITE 207, LONGWOOD, FL, 327506214, US | |||||||||||||||||||||||
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| Phone | +1 813-978-1142 |
| Fax | 8139750921 |
| Phone | +1 407-834-1990 |
Authorized person
| Name | MR. K. FRANK TANAKA |
| Role | OCULARIST |
| Phone | 8139781142 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | M1022 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TANAKA, FRANK | Agent | 704 Loma Linda Ct, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| TANAKA, FRANK | President | 704 LOMA LINDA CT, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| TANAKA, FRANK | Vice President | 704 LOMA LINDA CT, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| Tanaka, Emmy | Secretary | 704, Loma LInda Ct Brandon, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-10 | 704 Loma Linda Ct, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-10 | 704 Loma Linda Ct, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-10 | 704 Loma Linda Ct, BRANDON, FL 33511 | No data |
| REINSTATEMENT | 2000-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-01-08 |
| AMENDED ANNUAL REPORT | 2020-09-08 |
| ANNUAL REPORT | 2020-01-02 |
| AMENDED ANNUAL REPORT | 2019-10-22 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
