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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Shatz Andrew C | Agent | 1601 SAWGRASS CORPORATE PARKWAY, SUNRISE, FL, 33323 |
Name | Role | Address |
---|---|---|
SHATZ ANDREW C | Chief Executive Officer | 1000 SAWGRASS CORP PKWY STE 500, SUNRISE, FL, 33323 |
Name | Role | Address |
---|---|---|
WILTSHIRE VICTORIA | Chief Operating Officer | 1000 SAWGRASS CORP PWKY, SUITE 500, SUNRISE, FL, 33323 |
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 |
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 |
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