| Entity Name: | LANDSAW, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Mar 2002 (23 years ago) |
| Document Number: | P02000025259 |
| FEI/EIN Number | 020561487 |
| Address: | 91284 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| Mail Address: | 91284 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427254978 | 2007-06-22 | 2011-08-01 | 91284 OVERSEAS HWY, TAVERNIER, FL, 330702555, US | 91284 OVERSEAS HWY, TAVERNIER, FL, 330702555, US | |||||||||||||||||||||||
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| Phone | +1 305-853-3153 |
| Fax | 3058533152 |
Authorized person
| Name | DR. JANNAH MILLER LANDSAW |
| Role | PRESIDENT |
| Phone | 3058533153 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620730800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANDSAW JANNAH MILLER | Agent | 91284 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| LANDSAW JANNAH MILLER | President | 91284 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000095039 | LANDSAW EYECARE | ACTIVE | 2018-08-25 | 2028-12-31 | No data | 91284 OVERSEAS HIGHWAY, TAVERNIER, FL, 33070 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-25 | 91284 OVERSEAS HWY, TAVERNIER, FL 33070 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-25 | 91284 OVERSEAS HWY, TAVERNIER, FL 33070 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-25 | 91284 OVERSEAS HWY, TAVERNIER, FL 33070 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-05-04 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
