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DOUGLAS K. BLACK, O.D., P.A. - Florida Company Profile

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Company Details

Entity Name: DOUGLAS K. BLACK, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Mar 2001 (24 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: P01000022608
FEI/EIN Number 593702359
Address: 2058 CONSTITUTION BLVD, SARASOTA, FL, 34231
Mail Address: PO BOX 19319, SARASOTA, FL, 34276
ZIP code: 34231
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLACK DOUGLAS K Director PO BOX 19319, SARASOTA, FL, 34276
BLACK DOUGLAS K President PO BOX 19319, SARASOTA, FL, 34276
BLACK DOUGLAS K Secretary PO BOX 19319, SARASOTA, FL, 34276
BLACK DOUGLAS K Treasurer PO BOX 19319, SARASOTA, FL, 34276
TRACY CATHERINE L Agent 2058 CONSTITUTION BLVD, SARASOTA, FL, 34231

National Provider Identifier

NPI Number:
1477735611

Authorized Person:

Name:
DOREEN J DEGIROLAMO
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
9413878779

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-21 2058 CONSTITUTION BLVD, SARASOTA, FL 34231 -
CHANGE OF MAILING ADDRESS 2005-04-22 2058 CONSTITUTION BLVD, SARASOTA, FL 34231 -
REGISTERED AGENT ADDRESS CHANGED 2005-04-22 2058 CONSTITUTION BLVD, SARASOTA, FL 34231 -
REGISTERED AGENT NAME CHANGED 2003-04-28 TRACY, CATHERINE L -

Documents

Name Date
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-03-10
ANNUAL REPORT 2009-01-21
ANNUAL REPORT 2008-04-14
ANNUAL REPORT 2007-03-29
ANNUAL REPORT 2006-04-14
ANNUAL REPORT 2005-04-22
ANNUAL REPORT 2004-03-19
ANNUAL REPORT 2003-04-28
ANNUAL REPORT 2002-08-01

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Date of last update: 03 Aug 2025

Sources: Florida Department of State