| Entity Name: | FAMILY VISION INSTITUTE OF SOUTH FLORIDA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FAMILY VISION INSTITUTE OF SOUTH FLORIDA INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Aug 2007 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 Nov 2008 (16 years ago) |
| Document Number: | P07000090530 |
| FEI/EIN Number |
260706809
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 640 N Federal Hwy, Fort Lauderdale, FL, 33304, US |
| Mail Address: | 640 N Federal Hwy, Fort Lauderdale, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386821379 | 2008-01-22 | 2012-10-30 | 640 N FEDERAL HWY, FORT LAUDERDALE, FL, 333044686, US | 640 N FEDERAL HWY, FORT LAUDERDALE, FL, 333044686, US | |||||||||||||||||||||||||
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| Phone | +1 954-522-3918 |
| Fax | 9545225137 |
Authorized person
| Name | DR. BRANDON WILLIAM CORNISH |
| Role | CEO |
| Phone | 9545223918 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4217 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621267100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cornish Brandon WDr. | President | 640 N Federal Hwy, Fort Lauderdale, FL, 33304 |
| CORNISH BRANDON W | Agent | 2648 NE 26th Ct, FT. LAUDERDALE, FL, 33306 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000057406 | VISION SOURCE FORT LAUDERDALE | ACTIVE | 2012-06-12 | 2027-12-31 | - | 640 N FEDERAL HWY, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-31 | 2648 NE 26th Ct, FT. LAUDERDALE, FL 33306 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-28 | 640 N Federal Hwy, Fort Lauderdale, FL 33304 | - |
| CHANGE OF MAILING ADDRESS | 2013-01-28 | 640 N Federal Hwy, Fort Lauderdale, FL 33304 | - |
| CANCEL ADM DISS/REV | 2008-11-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9866578304 | 2021-01-31 | 0455 | PPS | 640 N Federal Hwy, Fort Lauderdale, FL, 33304-4686 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7237427710 | 2020-05-01 | 0455 | PPP | 640 N FEDERAL HWY, FORT LAUDERDALE, FL, 33304-4686 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
