| Entity Name: | RADZWILL OPTOMETRIC ASSOCIATES, CHARTERED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Mar 2001 (24 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 24 May 2004 (21 years ago) |
| Document Number: | P01000027438 |
| FEI/EIN Number | 651093982 |
| Address: | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL, 33304 |
| Mail Address: | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL, 33304 |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609059054 | 2007-12-07 | 2007-12-18 | 2312 E SUNRISE BLVD, FORT LAUDERDALE, FL, 333042500, US | 2312 E SUNRISE BLVD, FORT LAUDERDALE, FL, 333042500, US | |||||||||||||||||||||||||
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| Phone | +1 954-563-3450 |
| Fax | 9545638911 |
Authorized person
| Name | ERIC RADZWILL |
| Role | PRESIDENT |
| Phone | 9545633450 |
Taxonomy
| Taxonomy Code | 152WC0802X - Corneal and Contact Management Optometrist |
| License Number | 0003042 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP |
| Number | K0735 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RADZWILL ERIC | Agent | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| RADZWILL ERIC M | President | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-24 | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL 33304 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-24 | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL 33304 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-24 | RADZWILL, ERIC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-24 | 2312 EAST SUNRISE BLVD, FT. LAUDERDALE, FL 33304 | No data |
| CANCEL ADM DISS/REV | 2004-05-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
