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ERIC PEREZ, O.D., P.A.

Company Details

Entity Name: ERIC PEREZ, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Dec 2007 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Oct 2022 (2 years ago)
Document Number: P07000130430
FEI/EIN Number 261579721
Address: 8001 S. Orange Blossom Trail, Orlando, FL, 32809, US
Mail Address: 15161 Masthead Landing Cir, Winter Garden, FL, 34787, US
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205264991 2013-10-16 2022-11-14 PO BOX 770549, WINTER GARDEN, FL, 347770549, US 8001 S ORANGE BLOSSOM TRL STE 642, ORLANDO, FL, 328097667, US

Contacts

Phone +1 407-522-2656
Phone +1 407-240-5599
Fax 4074380112

Authorized person

Name DR. ERIC PEREZ
Role PRESIDENT/OWNER
Phone 9545594384

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
License Number OPC4234
State FL
Is Primary Yes

Agent

Name Role Address
PEREZ ERIC OD Agent 15161 Masthead Landing Cir, Winter Garden, FL, 34787

President

Name Role Address
PEREZ ERIC OD President 15161 Masthead Landing Cir, Winter Garden, FL, 34787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000156161 DPA EYECARE ACTIVE 2021-11-17 2026-12-31 No data P.O. BOX 770549, WINTER GARDEN, FL, 34777

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-02 8001 S. Orange Blossom Trail, Suite 642, Orlando, FL 32809 No data
CHANGE OF MAILING ADDRESS 2021-02-02 8001 S. Orange Blossom Trail, Suite 642, Orlando, FL 32809 No data
REGISTERED AGENT NAME CHANGED 2021-02-02 PEREZ, ERIC, OD No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-02 15161 Masthead Landing Cir, Winter Garden, FL 34787 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J12001084832 TERMINATED 1000000346414 ORANGE 2012-11-30 2022-12-28 $ 684.54 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-01-18
REINSTATEMENT 2022-10-13
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State