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JOSEALIX DAVERMAN OD PA - Florida Company Profile

Company Details

Entity Name: JOSEALIX DAVERMAN OD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation

JOSEALIX DAVERMAN OD PA is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock.
In Florida, Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Jan 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Jan 2024 (a year ago)
Document Number: P11000005811
FEI/EIN Number 80-0678775

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6268 WEST SAMPLE RD, STE 406, CORAL SPRINGS, FL 33067
Mail Address: 6268 WEST SAMPLE RD, STE 406, CORAL SPRINGS, FL 33067
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649576059 2011-02-02 2011-02-02 6841 MIRAMAR PKWY, MIRAMAR, FL, 330236023, US 5920 W SAMPLE RD # 105-7, CORAL SPRINGS, FL, 330673251, US

Contacts

Phone +1 954-967-9017
Phone +1 954-249-7548

Authorized person

Name DR. JOSEALIX DAVERMAN
Role PRESIDENT
Phone 9542497548

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC3885
Is Primary Yes

Other Provider Identifiers

Issuer AETNA
Number 9195136
Issuer UNITED HEALTH CARE
Number 2775155
State FL
Issuer BLUECROSS BLUESHIELDS
Number 36141
Issuer EYEMED
Number FL3885

Key Officers & Management

Name Role Address
Jadoonanan, HEMA Agent 12415 South Parkland Bay Trail, Parkland, FL 33076
DAVERMAN, JOSEALIX President 6268 WEST SAMPLE ROAD, SUITE 406, CORAL SPRINGS, FL 33067
DAVERMAN, JOSEALIX Treasurer 6268 WEST SAMPLE ROAD, SUITE 406, CORAL SPRINGS, FL 33067
DAVERMAN, JOSEALIX Secretary 6268 WEST SAMPLE ROAD, SUITE 406, CORAL SPRINGS, FL 33067
DAVERMAN, JOSEALIX Director 6268 WEST SAMPLE ROAD, SUITE 406, CORAL SPRINGS, FL 33067

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000027416 VISION EYE CARE & CONTACT LENSES EXPIRED 2011-03-16 2016-12-31 - 6841 MIRAMAR PARKWAY, MIRARMAR, FL, 33023

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-08 - -
REGISTERED AGENT ADDRESS CHANGED 2024-01-08 12415 South Parkland Bay Trail, Parkland, FL 33076 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REINSTATEMENT 2021-10-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
REINSTATEMENT 2019-06-13 - -
REGISTERED AGENT NAME CHANGED 2019-06-13 Jadoonanan, HEMA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REINSTATEMENT 2012-10-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
REINSTATEMENT 2024-01-08
ANNUAL REPORT 2022-07-15
REINSTATEMENT 2021-10-03
ANNUAL REPORT 2020-06-30
REINSTATEMENT 2019-06-13
ANNUAL REPORT 2015-06-01
ANNUAL REPORT 2014-05-01
ANNUAL REPORT 2013-05-01
REINSTATEMENT 2012-10-15
ADDRESSCHANGE 2011-06-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9505957309 2020-05-02 0455 PPP 6268 W SAMPLE RD 406, CORAL SPRINGS, FL, 33067
Loan Status Date 2021-12-18
Loan Status Charged Off
Loan Maturity in Months 4
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11267
Loan Approval Amount (current) 11267
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CORAL SPRINGS, BROWARD, FL, 33067-0001
Project Congressional District FL-23
Number of Employees 1
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 23 Feb 2025

Sources: Florida Department of State