| Entity Name: | EYE ASSOCIATES OF PLANTATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Dec 2001 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Jan 2023 (2 years ago) |
| Document Number: | P01000117169 |
| FEI/EIN Number | 651159427 |
| Address: | 499 NW 70th AVE, PLANTATION, FL, 33317, US |
| Mail Address: | 499 NW 70th AVE, PLANTATION, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942265368 | 2006-04-19 | 2007-10-15 | 499 NW 70 AVENUE, SUITE 100, PLANTATION, FL, 333177572, US | 499 NW 70 AVENUE, SUITE 100, PLANTATION, FL, 33317, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-792-6411 |
| Fax | 9547924460 |
Authorized person
| Name | MRS. NORDIA E RAMIREZ |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9547926411 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | 100542 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 34376 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COHN LEON F | Agent | 499 NW 70th AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| COHN LEON F | Director | 499 NW 70th AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| COHN LEON F | President | 499 NW 70th AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| COHN LEON F | Secretary | 499 NW 70th AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| COHN LEON F | Treasurer | 499 NW 70th AVE, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-26 | 499 NW 70th AVE, Ste. 100, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-26 | 499 NW 70th AVE, Ste. 100, PLANTATION, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-26 | COHN, LEON F. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 499 NW 70th AVE, Ste. 100, PLANTATION, FL 33317 | No data |
| REINSTATEMENT | 2023-01-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| REINSTATEMENT | 2023-01-06 |
| ANNUAL REPORT | 2021-07-28 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4125817101 | 2020-04-12 | 0455 | PPP | 5768 NW 121ST AVE, POMPANO BEACH, FL, 33076-4016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Feb 2025
Sources: Florida Department of State
