| Entity Name: | CARL C CARTER OD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Nov 2007 (17 years ago) |
| Date of dissolution: | 16 Feb 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Feb 2021 (4 years ago) |
| Document Number: | P07000120874 |
| FEI/EIN Number | 261330125 |
| Address: | 3615 WOOLBRIGHT RD., BOYNTON BEACH, FL, 33436 |
| Mail Address: | 3691 LONE PINE ROAD, DELRAY BEACH, FL, 33445 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407016033 | 2008-06-17 | 2011-08-01 | 3691 LONE PINE RD, DELRAY BEACH, FL, 334457679, US | 3615 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334367244, US | |||||||||||||||||||||||||||
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| Phone | +1 561-789-3335 |
| Fax | 5617368991 |
| Phone | +1 561-734-1887 |
Authorized person
| Name | DR. CARL C. CARTER |
| Role | PRES. |
| Phone | 5617893335 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC879 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 084200100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARTER CARL C | Agent | 3691 LONE PINE ROAD, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| CARTER CARL C | President | 3691 LONE PINE ROAD, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| CARTER CARL C | Director | 3691 LONE PINE ROAD, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-06 | 3615 WOOLBRIGHT RD., BOYNTON BEACH, FL 33436 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-12 | 3615 WOOLBRIGHT RD., BOYNTON BEACH, FL 33436 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-12 | 3691 LONE PINE ROAD, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-16 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-16 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
