| Entity Name: | 3 D VISION EYE SURGERY CENTER PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Feb 2009 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Aug 2011 (13 years ago) |
| Document Number: | P09000017704 |
| FEI/EIN Number | 320275956 |
| Address: | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JACKSON ALLEN P | Agent | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| JACKSON ALLEN M | President | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| FIORELLI VANESSA M | Vice President | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL, 32114 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000037130 | FLORIDA EYE RESEARCH AND SURGICAL THERAPY INSTITUTE (FERST EYE INSTITUTE) | ACTIVE | 2016-04-12 | 2026-12-31 | No data | 1201 S. RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114 |
| G13000046604 | TAILOR- MADE MEDICAL SOLUTIONS | EXPIRED | 2013-05-15 | 2018-12-31 | No data | 1893 N. CLYDE MORRIS BLVD STE. 100, DAYTONA BEACH, FL, 32117 |
| G10000033698 | FLORIDA EYE RESEARCH AND SURGICAL THERAPY INSTITUTE (FERST EYE INSTITUTE) | EXPIRED | 2010-04-15 | 2015-12-31 | No data | 1893 CLYDE MORRIS BLVD SUITE 100, DAYTONA BEACH, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-15 | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-15 | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-15 | 1201 S. Ridgewood Avenue, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-06 | JACKSON, ALLEN P | No data |
| AMENDMENT | 2011-08-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2566638403 | 2021-02-03 | 0491 | PPS | 1201 S Ridgewood Ave Apt 303, Daytona Beach, FL, 32114-6123 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P1699607 | 3 D VISION EYE SURGERY CENTER PA | - | C4GALNSK2P66 | 1201 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114-6127 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Allen T. Jackson |
| Role | MD, MPH, Director |
SBA Federal Certifications
| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621112 |
| NAICS Code's Description | Offices of Physicians, Mental Health Specialists |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | No |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Performance History (References)
| Name | Progressive Medical Research |
| Contract | Medical Research |
| Start | 2011-01-11 |
| Value | $50,000 |
| Contact | Alex White, MD |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
