| Entity Name: | PINNACLE ADVANCED EYE CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Jan 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P04000013594 |
| FEI/EIN Number | 161692795 |
| Address: | pinnacle advanced eye care, 18131 NW 66th court, hialeah, FL, 33015, US |
| Mail Address: | pinnacle advanced eye care, 18131 nw 66th court, hialeah, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558802447 | 2017-03-13 | 2017-03-13 | 18131 NW 66TH CT, HIALEAH, FL, 330154408, US | 18131 NW 66TH CT, HIALEAH, FL, 330154408, US | |||||||||||||||||||||||||
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| Phone | +1 305-962-1735 |
| Fax | 9545079561 |
Authorized person
| Name | DR. BRADLEY PELTZER |
| Role | PRESIDENT |
| Phone | 3059621735 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | OPC2646 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 078929100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PELTZER BRADLEY A | Agent | 18131 NW 66th court, MIAMI LAKES, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| PELTZER BRADLEY A | Officer | 18131 NW 66TH COURT, MIAMI LAKES, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| PELTZER BRADLEY A | Director | 18131 NW 66TH COURT, MIAMI LAKES, FL, 33015 |
| TEIXEIRA CHRISTOPHER P | Director | 18131 NW 66TH COURT, MIAMI LAKES, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-28 | pinnacle advanced eye care, 18131 NW 66th court, hialeah, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-28 | pinnacle advanced eye care, 18131 NW 66th court, hialeah, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-20 | 18131 NW 66th court, MIAMI LAKES, FL 33015 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-27 | PELTZER, BRADLEY APRESIDE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-03-23 |
| ANNUAL REPORT | 2012-03-26 |
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-03-20 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-03-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
