| Entity Name: | LIANNE M. PINO O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2003 (21 years ago) |
| Document Number: | P03000104886 |
| FEI/EIN Number | 550847414 |
| Address: | 9000 SW 152 ST, SUITE 206, VILLAGE OF PALMETTO BAY, FL, 33157 |
| Mail Address: | 9000 SW 152 ST, SUITE 206, VILLAGE OF PALMETTO BAY, FL, 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922069095 | 2006-03-29 | 2009-03-24 | 9000 SW 152ND ST, SUITE 206, PALMETTO BAY, FL, 331571981, US | 9000 SW 152ND ST, SUITE 206, PALMETTO BAY, FL, 331571981, US | |||||||||||||||||||||||||
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| Phone | +1 786-242-7755 |
| Fax | 7862420070 |
Authorized person
| Name | DR. LIANNE MARIE PINO |
| Role | PRESIDENT |
| Phone | 7862427755 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3390 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620934300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PINO LIANNE M | Agent | 9000 SW 152 ST, VILLAGE OF PALMETTO BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| PINO LIANNE M | President | 10370 SW 97TH STREET, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| PINO LIANNE M | Secretary | 10370 SW 97TH STREET, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| PINO LIANNE M | Treasurer | 10370 SW 97TH STREET, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| PINO LIANNE M | Director | 10370 SW 97TH STREET, MIAMI, FL, 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000046051 | EXCEPTIONAL VISION | ACTIVE | 2020-04-27 | 2025-12-31 | No data | 9000 SW 152 ST, SUITE 206, MIAMI, FL, 33157 |
| G08059900211 | EXCEPTIONAL VISION | EXPIRED | 2008-02-28 | 2013-12-31 | No data | 10370 SW 97 ST, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-07 | 9000 SW 152 ST, SUITE 206, VILLAGE OF PALMETTO BAY, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-07 | 9000 SW 152 ST, SUITE 206, VILLAGE OF PALMETTO BAY, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-07 | PINO, LIANNE MOD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-07 | 9000 SW 152 ST, SUITE 206, VILLAGE OF PALMETTO BAY, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4357287205 | 2020-04-27 | 0455 | PPP | 9000 SW 152nd St Ste 206, Palmetto Bay, FL, 33157-1942 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
