| Entity Name: | DRS. CUKIERMAN & GOMEZ, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jan 2009 (16 years ago) |
| Document Number: | P09000001849 |
| FEI/EIN Number | 26-4022818 |
| Address: | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 |
| Mail Address: | 9053 NW 154TH TERRACE, MIAMI LAKES, FL 33018 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639676281 | 2018-04-10 | 2019-12-30 | 246 S FLAMINGO RD, PEMBROKE PINES, FL, 330271721, US | 246 S FLAMINGO RD, PEMBROKE PINES, FL, 330271721, US | |||||||||||||||||||||||||
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| Phone | +1 954-443-1230 |
| Fax | 9544431234 |
Authorized person
| Name | DR. MICHAEL ALEXANDER GOMEZ |
| Role | VICE PRESIDENT |
| Phone | 9544716453 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3891 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103620900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MICHAEL | Agent | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| CUKIERMAN, AMIR | President | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MICHAEL | Vice President | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000134103 | CORRECT VISION | ACTIVE | 2024-11-01 | 2029-12-31 | No data | 21673 STATE ROAD 7, BOCA RATON, FL, 33428 |
| G18000049708 | ADVANCED VISION | ACTIVE | 2018-04-19 | 2028-12-31 | No data | 1770 WEST 32ND PLACE, HIALEAH, FL, 33012 |
| G09022900359 | ADVANCED VISION | EXPIRED | 2009-01-22 | 2014-12-31 | No data | 1770 W 32 PLACE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-09 | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-09 | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-09 | 246 S FLAMINGO RD, PEMBROKE PINES, FL 33027 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-23 | GOMEZ, MICHAEL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
