| Entity Name: | FLORIDA RETINA CONSULTANTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2003 (22 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 15 Apr 2015 (10 years ago) |
| Document Number: | P03000077181 |
| FEI/EIN Number | 200092126 |
| Address: | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Mail Address: | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053392209 | 2005-11-07 | 2013-08-27 | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 338052908, US | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 338052908, US | |||||||||||||||||||||||||
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| Phone | +1 863-682-7474 |
| Fax | 8638024587 |
Authorized person
| Name | MR. SCOTT M FRIEDMAN |
| Role | PRESIDENT |
| Phone | 8636827474 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME57010 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DF5994 |
| State | GA |
| Name | Role | Address |
|---|---|---|
| FRIEDMAN SCOTT M | Agent | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| FRIEDMAN SCOTT | President | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| Moinfar Nader | Vice President | 2202 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08364900226 | CENTRAL FLORIDA RETINA INSTITUTE, P.A. | EXPIRED | 2008-12-29 | 2013-12-31 | No data | 2202 LAKELAND HILLS BOULEVARD, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2015-04-15 | No data | No data |
| NAME CHANGE AMENDMENT | 2008-12-16 | FLORIDA RETINA CONSULTANTS, P.A. | No data |
| CANCEL ADM DISS/REV | 2006-01-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-07-06 | 2202 LAKELAND HILLS BLVD, LAKELAND, FL 33805 | No data |
| CHANGE OF MAILING ADDRESS | 2004-07-06 | 2202 LAKELAND HILLS BLVD, LAKELAND, FL 33805 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-07-06 | 2202 LAKELAND HILLS BLVD, LAKELAND, FL 33805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-03 |
| Amended and Restated Articles | 2015-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
