| Entity Name: | SCOTT GROSSMAN OD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Dec 2006 (18 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P06000157702 |
| FEI/EIN Number | 208141140 |
| Address: | 18557A WEST DIXIE HIGHWAY, MIAMI, FL, 33180, US |
| Mail Address: | 18557A WEST DIXIE HIGHWAY, MIAMI, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003930868 | 2007-03-19 | 2010-06-09 | 18557 W DIXIE HWY, MIAMI, FL, 331802614, US | 18557 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 33180, US | |||||||||||||||||||
|
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| Phone | +1 305-466-0777 |
| Fax | 3054660773 |
Authorized person
| Name | SCOTT GROSSMAN |
| Role | OPTOMETRIST |
| Phone | 3054660777 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4188 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Grossman Scott | Agent | 18557A W Dixie Hwy, Miami, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| GROSSMAN SCOTT | President | 18557A WEST DIXIE HIGHWAY, MIAMI, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-03 | 18557A WEST DIXIE HIGHWAY, MIAMI, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-03 | 18557A WEST DIXIE HIGHWAY, MIAMI, FL 33180 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-03 | 18557A W Dixie Hwy, Miami, FL 33180 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-25 | Grossman, Scott | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
