| Entity Name: | ROBERT L. PHILLIPS, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ROBERT L. PHILLIPS, O.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 2002 (23 years ago) |
| Document Number: | P02000055716 |
| FEI/EIN Number |
331006452
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053581967 | 2008-03-06 | 2018-04-09 | 1580 BLANDING BLVD, JACKSONVILLE, FL, 322101834, US | 1580 BLANDING BLVD, JACKSONVILLE, FL, 322101834, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-387-0025 |
| Fax | 9043870969 |
Authorized person
| Name | ROBERT L. PHILLIPS |
| Role | OWNER |
| Phone | 9043870025 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC930 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 084322900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 084322901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PHILLIPS ROBERT L | Director | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL, 32034 |
| PHILLIPS ROBERT L | Agent | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL 32034 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL 32034 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 2173 SURF SIDE DRIVE, FERNANDINA BEACH, FL 32034 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
