| Entity Name: | JENNIFER L MANNING OD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Apr 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P09000032328 |
| FEI/EIN Number | 264635087 |
| Address: | 2201 4th St North, St Petersburg, FL, 33704, US |
| Mail Address: | 3427 Cedar Springs Rd, Dallas, TX, 75219, US |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932477650 | 2011-12-08 | 2011-12-08 | 6633 80TH AVE N, PINELLAS PARK, FL, 337812061, US | 6633 80TH AVE N, PINELLAS PARK, FL, 337812061, US | |||||||||||||||||||||||
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| Phone | +1 813-545-2367 |
Authorized person
| Name | JENNIFER MANNING |
| Role | OPTOMETRIST |
| Phone | 8135452367 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4285 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003837400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANNING JENNIFER L | Agent | 2201 4th St North, St Petersburg, FL, 33704 |
| Name | Role | Address |
|---|---|---|
| MANNING JENNIFER L | President | 2201 4th St North, St Petersburg, FL, 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-16 | 2201 4th St North, Suite A, St Petersburg, FL 33704 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-04 | 2201 4th St North, Suite A, St Petersburg, FL 33704 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-04 | 2201 4th St North, Suite A, St Petersburg, FL 33704 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2013-04-04 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-03-02 |
| ANNUAL REPORT | 2010-06-23 |
| Domestic Profit | 2009-04-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
