| Entity Name: | ANGEL EYE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Sep 2001 (23 years ago) |
| Document Number: | P01000088043 |
| FEI/EIN Number | 582648707 |
| Address: | 1563 S. Atlantic Avenue, Cocoa Beach, FL, 32931, US |
| Mail Address: | 1563 S. Atlantic Avenue, Cocoa Beach, FL, 32931, US |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629300223 | 2010-02-05 | 2010-02-05 | 10524 SW 132ND CT, MIAMI, FL, 331863443, US | 10524 SW 132ND CT, MIAMI, FL, 331863443, US | |||||||||||||||||||||||
|
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| Phone | +1 305-992-2825 |
Authorized person
| Name | DR. LISA JEANINE RAMIREZ |
| Role | PRESIDENT |
| Phone | 3059922825 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3826 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620891600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMIREZ LISA J | Agent | 1563 S. Atlantic Avenue, Cocoa Beach, FL, 32931 |
| Name | Role | Address |
|---|---|---|
| RAMIREZ LISA | President | 1563 S. Atlantic Avenue, Cocoa Beach, FL, 32931 |
| Name | Role | Address |
|---|---|---|
| RAMIREZ LISA | Director | 1563 S. Atlantic Avenue, Cocoa Beach, FL, 32931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-19 | 1563 S. Atlantic Avenue, #5, Cocoa Beach, FL 32931 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-19 | 1563 S. Atlantic Avenue, #5, Cocoa Beach, FL 32931 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-19 | 1563 S. Atlantic Avenue, #5, Cocoa Beach, FL 32931 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-13 | RAMIREZ, LISA J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
