| Entity Name: | BRIAN T. BURRY, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Aug 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000112714 |
| FEI/EIN Number | 205474273 |
| Mail Address: | 10453 OAKVIEW POINTE TERRACE, GOTHA, FL, 34734 |
| Address: | 9428 WEST COLONIAL DRIVE, OCOEE, FL, 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295847499 | 2006-09-01 | 2009-03-16 | 9428 W COLONIAL DR, OCOEE, FL, 347616800, US | 9428 W COLONIAL DR, OCOEE, FL, 347616800, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-822-1977 |
Authorized person
| Name | DR. BRIAN T BURRY |
| Role | PRESIDENT |
| Phone | 4074487697 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC-2729 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621175500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURRY BRIAN T | Agent | 10453 OAKVIEW POINTE TERRACE, GOTHA, FL, 34734 |
| Name | Role | Address |
|---|---|---|
| BURRY BRIAN T | President | 10453 OAKVIEW POINTE TERRACE, GOTHA, FL, 34734 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-20 | 9428 WEST COLONIAL DRIVE, OCOEE, FL 34761 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000907284 | TERMINATED | 2010-CA-000014-O | ORANGE CO CIRCUIT COURT | 2010-08-26 | 2015-09-13 | $162,204.64 | SUNTRUST BANK, 1 FLORIDA PARK DRIVE SOUTH, PALM COAST, FLORIDA 32137 |
| J09000939495 | TERMINATED | 1000000111383 | 9834 9376 | 2009-02-26 | 2029-03-18 | $ 2,121.07 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 5401 S KIRKMAN RD 5TH FL, ORLANDO FL328197940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-05-08 |
| ANNUAL REPORT | 2007-02-20 |
| Domestic Profit | 2006-08-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
