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CONNIE LAWRENCE-WILLIS, OD PA

Company Details

Entity Name: CONNIE LAWRENCE-WILLIS, OD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Feb 2002 (23 years ago)
Date of dissolution: 14 Jan 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 14 Jan 2022 (3 years ago)
Document Number: P02000020366
FEI/EIN Number 010619397
Address: 2001 US #1, SEBASTIAN, FL, 32958, US
Mail Address: 6130 61st Street, Vero Beach, FL, 32967, US
ZIP code: 32958
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073709283 2007-09-20 2007-11-01 13 SUNSET DR, SEBASTIAN, FL, 329583508, US 2001 US HIGHWAY 1, SEBASTIAN, FL, 329581615, US

Contacts

Phone +1 772-589-7337
Fax 7725899238

Authorized person

Name DR. CONNIE LAWRENCE-WILLIS
Role PRESIDENT/OWNER
Phone 7725897337

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC3016
State FL
Is Primary Yes

Agent

Name Role Address
LAWRENCE-WILLIS CONNIE Agent 6130 61st Street, Vero Beach, FL, 32967

Director

Name Role Address
LAWRENCE-WILLIS CONNIE Director 2001 US HWY# 1, SEBASTIAN, FL, 32958

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-01-14 No data No data
CHANGE OF MAILING ADDRESS 2021-04-11 2001 US #1, SEBASTIAN, FL 32958 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-11 6130 61st Street, Vero Beach, FL 32967 No data
CHANGE OF PRINCIPAL ADDRESS 2007-05-25 2001 US #1, SEBASTIAN, FL 32958 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-01-14
ANNUAL REPORT 2021-04-11
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-02-24
ANNUAL REPORT 2015-04-03
ANNUAL REPORT 2014-04-03
ANNUAL REPORT 2013-02-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State