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EMERALD COAST OPTOMETRY ASSOCIATES, PA

Company Details

Entity Name: EMERALD COAST OPTOMETRY ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jul 2010 (15 years ago)
Document Number: P10000055486
FEI/EIN Number 272992660
Mail Address: 441 Captains Cir, DESTIN, FL, 32541, US
Address: 11570 PANAMA CITY BEACH PARKWAY, STE 100, PANAMA CITY BEACH, FL, 32407
ZIP code: 32407
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457657561 2011-02-07 2011-02-07 4418 COMMONS DR E, STE A, DESTIN, FL, 325418405, US 11570 PANAMA CITY BEACH PKWY, STE B, PANAMA CITY BEACH, FL, 324072502, US

Contacts

Phone +1 850-654-3937
Fax 8506541070

Authorized person

Name DR. SHANNON DEWAYNE FOWLER
Role PRESIDENT
Phone 8506543937

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
FOWLER SHANNON D Agent 441 Captains Cir, DESTIN, FL, 32541

President

Name Role Address
FOWLER SHANNON D President 441 Captains Cir, DESTIN, FL, 32541

Events

Event Type Filed Date Value Description
MERGER 2024-12-03 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L17000107226. MERGER NUMBER 900000264279
CHANGE OF MAILING ADDRESS 2024-01-09 11570 PANAMA CITY BEACH PARKWAY, STE 100, PANAMA CITY BEACH, FL 32407 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-09 441 Captains Cir, DESTIN, FL 32541 No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-26 11570 PANAMA CITY BEACH PARKWAY, STE 100, PANAMA CITY BEACH, FL 32407 No data
REGISTERED AGENT NAME CHANGED 2012-01-26 FOWLER, SHANNON DDR No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-03-18
ANNUAL REPORT 2015-03-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State