| Entity Name: | H. KIRK FALLIN, O.D. & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Dec 2004 (20 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P04000167588 |
| FEI/EIN Number | 593792684 |
| Address: | 8201 SOUTH TAMIAMI TRAIL, SUITE 51, SARASOTA, FL, 34238 |
| Mail Address: | 8201 SOUTH TAMIAMI TRAIL #51, SARASOTA, FL, 34238 |
| ZIP code: | 34238 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245668201 | 2013-10-29 | 2013-10-29 | 8201 S TAMIAMI TRL UNIT 51, SUITE 51, SARASOTA, FL, 342382950, US | 8201 S TAMIAMI TRL UNIT 51, SUITE 51, SARASOTA, FL, 342382950, US | |||||||||||||||||||
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| Phone | +1 941-923-4111 |
| Fax | 9419262981 |
Authorized person
| Name | DR. HERBERT KIRK FALLIN III |
| Role | CEO |
| Phone | 9419234111 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3228 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FALLIN III HERBERT K | Agent | 8201 SOUTH TAMIAMI TRAIL #51, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| FALLIN HERBERT K | Chief Executive Officer | 8201 SOUTH TAMIAMI TRAIL #51, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| FALLIN HERBERT K | Chief Operating Officer | 8201 SOUTH TAMIAMI TRAIL #51, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| FALLIN HERBERT K | Chief Financial Officer | 8201 SOUTH TAMIAMI TRAIL #51, SARASOTA, FL, 34238 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-15 | 8201 SOUTH TAMIAMI TRAIL, SUITE 51, SARASOTA, FL 34238 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-05-05 |
| ANNUAL REPORT | 2016-03-20 |
| ANNUAL REPORT | 2015-06-08 |
| ANNUAL REPORT | 2014-06-13 |
| ANNUAL REPORT | 2013-06-23 |
| ANNUAL REPORT | 2012-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
