| Entity Name: | ELENA NEVEUX OD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jun 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P05000081189 |
| FEI/EIN Number | 020744541 |
| Address: | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Mail Address: | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790968667 | 2007-12-13 | 2011-09-30 | 487 BAYOU VILLAGE DR, TARPON SPRINGS, FL, 346893607, US | 9797 BAY PINES BLVD, ST PETERSBURG, FL, 337083775, US | |||||||||||||||||||||||||
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| Phone | +1 772-349-8877 |
| Phone | +1 727-398-5090 |
Authorized person
| Name | DR. ELENA NEVEUX |
| Role | PRESIDENT |
| Phone | 7723498877 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3930 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621231000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEUEUX ELENA | Agent | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| NEVEUX ELENA | President | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| NEVEUX ELENA | Vice President | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| NEVEUX ELENA | Secretary | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| NEVEUX ELENA | Treasurer | 1580 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-25 | NEUEUX, ELENA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-17 | 1580 SW PROSPERITY WAY, PALM CITY, FL 34990 | No data |
| CHANGE OF MAILING ADDRESS | 2006-05-17 | 1580 SW PROSPERITY WAY, PALM CITY, FL 34990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-17 | 1580 SW PROSPERITY WAY, PALM CITY, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-03-25 |
| ANNUAL REPORT | 2007-04-19 |
| ANNUAL REPORT | 2006-05-17 |
| Domestic Profit | 2005-06-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
