| Entity Name: | FAMILY VISION SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Dec 1999 (25 years ago) |
| Date of dissolution: | 23 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Apr 2023 (2 years ago) |
| Document Number: | P00000000947 |
| FEI/EIN Number | 593628702 |
| Address: | 19070 Bruce B Downs Blvd, tampa, FL, 33647, US |
| Mail Address: | 19070 Bruce B Downs Boulevard, Tampa, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124234612 | 2007-05-14 | 2020-08-22 | 12718 BRAMFIELD DR, RIVERVIEW, FL, 335697776, US | 301 EAGLE RIDGE DR, LAKE WALES, FL, 338594751, US | |||||||||||||||||||||||
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| Phone | +1 863-679-2068 |
Authorized person
| Name | DR. IRIS MATSUKADO |
| Role | PRESIDENT |
| Phone | 8133401025 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OP0482 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | EYEMED |
| Number | OP0482 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MATSUKADO IRIS | Agent | 2043 elk spring dr, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MATSUKADO IRIS | Director | 2043 elk spring dr, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MATSUKADO IRIS | President | 2043 elk spring dr, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MATSUKADO IRIS | Treasurer | 2043 elk spring dr, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MATSUKADO IRIS | Secretary | 2043 elk spring dr, Brandon, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000024871 | FAMILY VISION SERVICES, P.A. | ACTIVE | 2011-03-08 | 2026-12-31 | No data | 2043 ELK SPRING DR, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-06 | 19070 Bruce B Downs Blvd, tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-13 | 19070 Bruce B Downs Blvd, tampa, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-15 | 2043 elk spring dr, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-23 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-06 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
