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  5. PALM COAST EYE CENTER, P.A.

PALM COAST EYE CENTER, P.A.

Company Details

Entity Name: PALM COAST EYE CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Mar 2000 (25 years ago)
Document Number: P00000023174
FEI/EIN Number 650987859
Address: 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239
Mail Address: 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427098730 2006-06-07 2008-04-10 5601 21ST AVE W, SUITE A, BRADENTON, FL, 342095642, US 5601 21ST AVE W, SUITE A, BRADENTON, FL, 342095642, US

Contacts
Phone +1 941-794-2020
Fax 9417923464

Authorized person
Name LISA RENEE NICHOLS
Role PRACTICE MANAGER
Phone 9417942020

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number OPC3917
State FL
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME0045451
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE GROUP
Number CJ5917
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2023 650987859 2024-07-22 PALM COAST EYE CENTER, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2022 650987859 2023-09-29 PALM COAST EYE CENTER, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2021 650987859 2022-10-07 PALM COAST EYE CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2020 650987859 2021-06-09 PALM COAST EYE CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2019 650987859 2020-07-22 PALM COAST EYE CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2018 650987859 2019-02-08 PALM COAST EYE CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2017 650987859 2018-02-20 PALM COAST EYE CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2016 650987859 2017-02-20 PALM COAST EYE CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2015 650987859 2016-07-21 PALM COAST EYE CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239
PALM COAST EYE CENTER, P.A. PROFIT SHARING PLAN 2014 650987859 2017-02-08 PALM COAST EYE CENTER, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 9419542020
Plan sponsor’s address 3131 S. TAMIAMI TRAIL, SUITE 201, SARASOTA, FL, 34239

Agent

Name Role Address
WEINKLE DANA J Agent 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239

Director

Name Role Address
WEINKLE DANA JDr. Director 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239

President

Name Role Address
WEINKLE DANA JDr. President 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239

Secretary

Name Role Address
WEINKLE DANA JDr. Secretary 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239

Treasurer

Name Role Address
WEINKLE DANA JDr. Treasurer 3131 S. TAMIAMI TR., STE. 201, SARASOTA, FL, 34239

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-04-15

Related by officers

WEINKLE DANA JDr.

SPSC PROPERTIES, LLC

WEINKLE DANA J

SPSC PROPERTIES, LLC MANATEE SURGICAL CENTER, INC. SSC PHYSICIANS, L.L.C. PALM COAST EYEWEAR, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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