| Entity Name: | DR. ALAN H. SIEGEL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DR. ALAN H. SIEGEL, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Aug 2000 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Oct 2009 (16 years ago) |
| Document Number: | P00000082113 |
| FEI/EIN Number |
651037371
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983, US |
| Mail Address: | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983, US |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1679757918 | 2007-12-21 | 2008-10-29 | 10692 S US HIGHWAY 1, SUITE B, PORT ST LUCIE, FL, 349526408, US | 10692 S US HIGHWAY 1, SUITE B, PORT ST LUCIE, FL, 349526408, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-335-5006 |
| Fax | 7723354672 |
Authorized person
| Name | DR. ALAN HOWARD SIEGEL |
| Role | OPTOMETRIST |
| Phone | 7723355006 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC1190 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| License Number | FL1190 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | VCA |
| Number | 91471 |
| Issuer | EYEMED |
| Number | 111512 |
| Issuer | BCBS |
| Number | 19745 |
| Issuer | DAVIS VISION |
| Number | 3515 |
| Issuer | MEDICARE |
| Number | AH112 |
| Issuer | CLARITY |
| Number | SI142924 |
| Issuer | GVA |
| Number | 36080 |
| Issuer | MEDICARE RR |
| Number | 410046674 |
| Issuer | NPPES |
| Number | 4066210001 |
| State | FL |
| Issuer | AETNA |
| Number | 5124007 |
| Issuer | SPECTERA |
| Number | 86030 |
| Issuer | WORKMAN'S COMP |
| Number | OP-0001190 |
| Name | Role | Address |
|---|---|---|
| SIEGEL ALAN H | President | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983 |
| SIEGEL ALAN H | Secretary | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983 |
| SIEGEL ALAN H | Director | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983 |
| SIEGEL ALAN H | Agent | 786 SE Hidden River Drive, PORT ST. LUCIE, FL, 34983 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000011367 | SOUTHPORT PROFESSIONAL CENTER | ACTIVE | 2021-01-23 | 2026-12-31 | - | 786 SE HIDDEN RIVER DRIVE, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-26 | 786 SE Hidden River Drive, PORT ST. LUCIE, FL 34983 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-26 | 786 SE Hidden River Drive, PORT ST. LUCIE, FL 34983 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-26 | 786 SE Hidden River Drive, PORT ST. LUCIE, FL 34983 | - |
| AMENDMENT | 2009-10-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
