| Entity Name: | SHAUN J SMALL O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Apr 2005 (20 years ago) |
| Document Number: | P05000056712 |
| FEI/EIN Number | 364571889 |
| Address: | 407 E. OAK AVE, TAMPA, FL, 33602 |
| Mail Address: | 814 Riverbrook Ct, Apt. 201, Tampa, FL, 33603, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891023628 | 2009-12-07 | 2009-12-07 | 407 E OAK AVE, TAMPA, FL, 336022712, US | 407 E OAK AVE, TAMPA, FL, 336022712, US | |||||||||||||||||||
|
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| Phone | +1 813-443-5660 |
| Fax | 8134435661 |
Authorized person
| Name | DR. SHAUN JEROME SMALL |
| Role | PRESIDENT |
| Phone | 8134435660 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC0003984 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMALL SHAUN J | Agent | 814 Riverbrook Ct, Tampa, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| SMALL SHAUN J | Director | 407 E. OAK AVE, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| SMALL SHAUN J | President | 407 E. OAK AVE, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| SMALL SHAUN J | Secretary | 407 E. OAK AVE, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| SMALL SHAUN J | Treasurer | 407 E. OAK AVE, TAMPA, FL, 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000012601 | EAST OAK OPTICAL | ACTIVE | 2012-02-06 | 2027-12-31 | No data | 814 RIVER BROOK CT, APT. 201, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-27 | 407 E. OAK AVE, TAMPA, FL 33602 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 814 Riverbrook Ct, Apt. 201, Tampa, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-22 | 407 E. OAK AVE, TAMPA, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-22 | SMALL, SHAUN J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
