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GEORGE D. EDLUND, O.D., P.A.

Company Details

Entity Name: GEORGE D. EDLUND, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Sep 2000 (24 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 16 Jan 2001 (24 years ago)
Document Number: P00000086154
FEI/EIN Number 593669177
Address: 50 EGLIN PARKWAY NE, FORT WALTON BEACH, FL, 32548, US
Mail Address: 50 EGLIN PARKWAY NE, FORT WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124298401 2008-03-03 2008-03-03 50 NE EGLIN PARKWAY, FORT WALTON BEACH, FL, 325484957, US 50 NE EGLIN PARKWAY, FORT WALTON BEACH, FL, 325484957, US

Contacts

Phone +1 850-244-5577
Fax 8502444868

Authorized person

Name GEORGE D. EDLUND
Role OWNER/ PRESIDENT
Phone 8502445577

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OP0002174
State FL
Is Primary Yes

Agent

Name Role Address
EDLUND GEORGE D Agent 50 EGLIN PARKWAY NE, FORT WALTON BEACH, FL, 32548

Treasurer

Name Role Address
EDLUND GEORGE D Treasurer 50 EGLIN PARKWAY N.E., FORT WALTON BEACH, FL, 32548

President

Name Role Address
EDLUND GEORGE D President 50 EGLIN PARKWAY N.E., FORT WALTON BEACH, FL, 32548

Secretary

Name Role Address
EDLUND GEORGE D Secretary 50 EGLIN PARKWAY N.E., FORT WALTON BEACH, FL, 32548

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-13 50 EGLIN PARKWAY NE, FORT WALTON BEACH, FL 32548 No data
CHANGE OF MAILING ADDRESS 2009-04-13 50 EGLIN PARKWAY NE, FORT WALTON BEACH, FL 32548 No data
AMENDMENT AND NAME CHANGE 2001-01-16 GEORGE D. EDLUND, O.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-02-13
ANNUAL REPORT 2020-07-18
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-04-17
ANNUAL REPORT 2015-03-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State