| Entity Name: | MERCEDES Z. MANNING, OD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 May 2002 (23 years ago) |
| Document Number: | P02000053628 |
| FEI/EIN Number | 010704781 |
| Address: | 1410 Chesterfield Ct., Eustis, FL, 32726, US |
| Mail Address: | 1410 Chesterfield Ct., Eustis, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548420656 | 2008-06-11 | 2008-08-27 | 8920 SW 159TH TER, VILLAGE OF PALMETTO BAY, FL, 331571900, US | 7299 DADELAND MALL, MIAMI, FL, 331567853, US | |||||||||||||||||||||||||
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| Phone | +1 305-669-1501 |
| Fax | 3056691262 |
Authorized person
| Name | DR. MERCEDES ZELINDA MANNING |
| Role | PRESIDENT |
| Phone | 3057985910 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3658 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621141100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANNING MERCEDES Z | Agent | 1410 Chesterfield Ct., Eustis, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| MANNING MERCEDES Z | Director | 1410 Chesterfield Ct., Eustis, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-11 | 1410 Chesterfield Ct., Eustis, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-11 | 1410 Chesterfield Ct., Eustis, FL 32726 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-11 | 1410 Chesterfield Ct., Eustis, FL 32726 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
