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PROVISION LASER EYE CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: PROVISION LASER EYE CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Apr 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Feb 2011 (14 years ago)
Document Number: P04000060952
FEI/EIN Number 200982670
Address: 1191 JACARANDA BLVD., VENICE, FL, 34292
Mail Address: 1191 JACARANDA BLVD., VENICE, FL, 34292
ZIP code: 34292
City: Venice
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DURRETT SCOTT P Director 1191 JACARANDA BLVD, VENICE, FL, 34292
DURRETT SCOTT P Agent 1191 JACARANDA BLVD, VENICE, FL, 34292

Unique Entity ID

Unique Entity ID:
SRURFFNEW7Y4
UEI Expiration Date:
2026-04-29

Business Information

Doing Business As:
PROVISION EYE CENTER
Division Name:
PROVISION LASER EYE CENTER PA
Activation Date:
2025-05-01
Initial Registration Date:
2022-11-11

National Provider Identifier

NPI Number:
1316085111

Authorized Person:

Name:
DR. SCOTT P DURRETT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
9414924655

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000015595 PROVISION EYE CENTER EXPIRED 2010-02-17 2015-12-31 - 1219 JACARANDA BLVD., VENICE, FL, 34292

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2012-02-28 1191 JACARANDA BLVD, VENICE, FL 34292 -
CHANGE OF PRINCIPAL ADDRESS 2012-02-28 1191 JACARANDA BLVD., VENICE, FL 34292 -
CHANGE OF MAILING ADDRESS 2012-02-28 1191 JACARANDA BLVD., VENICE, FL 34292 -
AMENDMENT 2011-02-28 - -
REGISTERED AGENT NAME CHANGED 2011-02-14 DURRETT, SCOTT P -
CANCEL ADM DISS/REV 2006-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
NAME CHANGE AMENDMENT 2004-08-03 PROVISION LASER EYE CENTER, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-03-20
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-01-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State