| Entity Name: | JEFFREY W. FISHER, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jul 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P04000103444 |
| FEI/EIN Number | 201576548 |
| Address: | 10934 N DALE MABRY HWY, TAMPA, FL, 33618, US |
| Mail Address: | 15843 SANCTUARY DR, TAMPA, FL, 33647, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760696272 | 2007-05-10 | 2020-08-22 | 7318 YARDLEY WAY, TAMPA, FL, 336471215, US | 6192 GUNN HWY, TAMPA, FL, 336254014, US | |||||||||||||||||||
|
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| Phone | +1 813-968-2740 |
| Fax | 8139682750 |
Authorized person
| Name | DR. JEFFREY WILLIAM FISHER |
| Role | OPTOMETRIST PRES |
| Phone | 8139682740 |
Taxonomy
| Taxonomy Code | 152WC0802X - Corneal and Contact Management Optometrist |
| License Number | OPC-3793 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHER JEFFREY W | Agent | 15843 SANCTUARY DR, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| FISHER JEFFREY W | President | 15843 SANCTUARY DR, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-17 | 10934 N DALE MABRY HWY, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-17 | 15843 SANCTUARY DR, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-02 | 10934 N DALE MABRY HWY, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-17 |
| ANNUAL REPORT | 2017-05-02 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
