| Entity Name: | MICHAEL J. GOLDBERG, O.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2002 (22 years ago) |
| Document Number: | P02000102868 |
| FEI/EIN Number | 550801697 |
| Address: | 5465 NW Odom Ct, Port St Lucie, FL, 34986, US |
| Mail Address: | 5465 NW Odom Ct, Port St Lucie, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811159783 | 2008-07-01 | 2008-07-01 | 3332 NW FEDERAL HWY, JENSEN BEACH, FL, 349574402, US | 3332 NW FEDERAL HWY, JENSEN BEACH, FL, 349574402, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 772-692-9526 |
| Fax | 7726929472 |
Authorized person
| Name | DR. MICHAEL J GOLDBERG |
| Role | OWNER/OPTOMETRIST |
| Phone | 7726929526 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | FL3709 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLDBERG MICHAEL J | Agent | 5465 NW Odom Ct, Port St Lucie, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| Goldberg Michael J | President | 5465 NW Odom Ct, Port St Lucie, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 5465 NW Odom Ct, Port St Lucie, FL 34986 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 5465 NW Odom Ct, Port St Lucie, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 5465 NW Odom Ct, Port St Lucie, FL 34986 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
