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SIGHTTRUST EYE INSTITUTE, P.A.

Company Details

Entity Name: SIGHTTRUST EYE INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Apr 2010 (15 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Oct 2019 (5 years ago)
Document Number: P10000037218
FEI/EIN Number 272485448
Address: 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL, 33323, US
Mail Address: 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL, 33323, US
ZIP code: 33323
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225341134 2010-07-20 2018-05-15 1601 SAWGRASS CORPORATE PKWY STE 430, SUNRISE, FL, 333232827, US 1601 SAWGRASS CORPORATE PKWY STE 430, SUNRISE, FL, 33323, US

Contacts

Phone +1 954-653-0100
Fax 9546075977
Phone +1 954-835-0800

Authorized person

Name MR. ANDREW CHARLES SHATZ
Role MD
Phone 9546530100

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME106417
State FL
Is Primary Yes

Agent

Name Role Address
Shatz Andrew C Agent 1601 SAWGRASS CORPORATE PARKWAY, SUNRISE, FL, 33323

Chief Executive Officer

Name Role Address
SHATZ ANDREW C Chief Executive Officer 1000 SAWGRASS CORP PKWY STE 500, SUNRISE, FL, 33323

Chief Operating Officer

Name Role Address
WILTSHIRE VICTORIA Chief Operating Officer 1000 SAWGRASS CORP PWKY, SUITE 500, SUNRISE, FL, 33323

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000027031 ANDREW C. SHATZ, M.D. ACTIVE 2013-03-19 2028-12-31 No data 1601 SAWGRASS CORP. PKWY., SUITE 430, SUNRISE, FL, 33323

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-06 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL 33323 No data
CHANGE OF MAILING ADDRESS 2024-11-06 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL 33323 No data
REGISTERED AGENT NAME CHANGED 2020-02-19 Shatz, Andrew C No data
AMENDMENT 2019-10-15 No data No data
AMENDMENT 2014-08-19 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-29 1601 SAWGRASS CORPORATE PARKWAY, SUITE 430, SUNRISE, FL 33323 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-02-19
Amendment 2019-10-15
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-03-03

Date of last update: 02 Feb 2025

Sources: Florida Department of State