| Entity Name: | DEBRA A. SHIM, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DEBRA A. SHIM, O.D., 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: | 19 Mar 2001 (24 years ago) |
| Document Number: | P01000028256 |
| FEI/EIN Number |
651092011
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 451 UNIVERSITY BLVD, STE 102, JUPITER, FL, 33458-2862 |
| Mail Address: | 451 UNIVERSITY BLVD, STE 102, JUPITER, FL, 33458-2862 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134455736 | 2009-11-02 | 2010-02-23 | 451 UNIVERSITY BLVD, SUITE 102, JUPITER, FL, 334583102, US | 451 UNIVERSITY BLVD, SUITE 102, JUPITER, FL, 334583102, US | |||||||||||||||||||||||
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| Phone | +1 561-625-4380 |
| Fax | 5616253920 |
Authorized person
| Name | DEBRA A SHIM |
| Role | OPTOMETRIST/OWNER |
| Phone | 5616254380 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3312 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | CL589A |
| Name | Role | Address |
|---|---|---|
| SHIM DEBRA A | Director | 451 UNIVERSITY BLVD, STE 102, JUPITER, FL, 33458 |
| SICILIANO THOMAS V | Agent | 980 N FEDERAL HWY SUITE 440, BOCA RATON, FL, 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000113704 | VISUALEYES OF THE PALM BEACHES | ACTIVE | 2014-11-11 | 2029-12-31 | - | 451 UNIVERSITY BLVD, SUITE 102, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-09-18 | 451 UNIVERSITY BLVD, STE 102, JUPITER, FL 33458-2862 | - |
| CHANGE OF MAILING ADDRESS | 2009-09-18 | 451 UNIVERSITY BLVD, STE 102, JUPITER, FL 33458-2862 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7364368508 | 2021-03-05 | 0455 | PPS | 451 University Blvd Ste 102, Jupiter, FL, 33458-3102 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4471547106 | 2020-04-13 | 0455 | PPP | 451 UNIVERSITY BLVD STE 102, JUPITER, FL, 33458-3102 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
