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SAM TESKE OD, PA

Company Details

Entity Name: SAM TESKE OD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Apr 2011 (14 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: P11000037122
FEI/EIN Number 452236776
Address: 7813 MITCHELL BLVD., SUITE 111, NEW PORT RICHEY, FL, 34655, US
Mail Address: 7813 MITCHELL BLVD., SUITE 111, NEW PORT RICHEY, FL, 34655, US
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710270103 2011-05-18 2017-01-13 2740 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL, 346553623, US 2740 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL, 346553623, US

Contacts

Phone +1 727-372-2020
Fax 7273729313

Authorized person

Name MR. KEVIN WHALEY
Role OFFICE MANAGER
Phone 8136322020

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC3764
State FL
Is Primary Yes

Agent

Name Role Address
TESKE SAMUEL Agent 19070 BRUCE B DOWNS BLVD., TAMPA, FL, 33647

President

Name Role Address
TESKE SAMUEL J President 19070 BRUCE B DOWNS BLVD., TAMPA, FL, 33647

Treasurer

Name Role Address
TESKE SAMUEL J Treasurer 19070 BRUCE B DOWNS BLVD., TAMPA, FL, 33647

Secretary

Name Role Address
TESKE SAMUEL J Secretary 19070 BRUCE B DOWNS BLVD., TAMPA, FL, 33647

Director

Name Role Address
TESKE SAMUEL J Director 19070 BRUCE B DOWNS BLVD., TAMPA, FL, 33647

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000074575 THE EYEDOCTORS OF TRINITY EXPIRED 2011-07-26 2016-12-31 No data 7813 MITCHELL BLVD., SUITE 111, NEW PORT RICHEY, FL, 34655

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REGISTERED AGENT ADDRESS CHANGED 2013-06-11 19070 BRUCE B DOWNS BLVD., TAMPA, FL 33647 No data

Documents

Name Date
ANNUAL REPORT 2013-06-11
ANNUAL REPORT 2012-04-11
Domestic Profit 2011-04-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State