| Entity Name: | RICHARD WAGNER, OD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 May 2006 (19 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P06000067071 |
| FEI/EIN Number | 204848079 |
| Address: | 218 N MAIN ST, CHIEFLAND, FL, 32626 |
| Mail Address: | PO BOX 2622, CHIEFLAND, FL, 32644 |
| ZIP code: | 32626 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598980435 | 2007-04-16 | 2007-09-26 | 218 N MAIN ST, P.O. BOX 2622, CHIEFLAND, FL, 326260802, US | 218 N MAIN ST, 218 N MAIN ST, CHIEFLAND, FL, 326260802, US | |||||||||||||||||||
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| Phone | +1 352-493-4448 |
| Fax | 3524908100 |
Authorized person
| Name | RICHARD WAGNER |
| Role | OPTOMETRY |
| Phone | 3524934448 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | 13825 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAGNER RICHARD | Agent | 218 N MAIN STREET, CHIEFLAND, FL, 32626 |
| Name | Role | Address |
|---|---|---|
| WAGNER RICHARD P | President | 218 N MAIN STREET, CHIEFLAND, FL, 32626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-08-21 | 218 N MAIN ST, CHIEFLAND, FL 32626 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-03-21 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
