| Entity Name: | FLORIDA EYE DOCTORS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 May 2011 (14 years ago) |
| Document Number: | P11000045913 |
| FEI/EIN Number | 900720040 |
| Address: | 628 Cypress Key Circle, Atlantis, FL, 33462-1234, US |
| Mail Address: | 628 Cypress Key Circle, Atlantis, FL, 33462-1234, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982086211 | 2015-06-23 | 2015-06-23 | 4174 PALO VERDE DRIVE, BOYNTON BEACH, FL, 334363053, US | 1000 NORTH CONGRESS AVENUE SUITE 150, BOYNTON BEACH, FL, 334263337, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 561-734-2172 |
| Fax | 5617342172 |
| Fax | 5617342847 |
Authorized person
| Name | DR. SALVATORE FLORENCIO DECANIO |
| Role | PRESIDENT/CEO |
| Phone | 5616650437 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC1598 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 152WC0802X - Corneal and Contact Management Optometrist |
| License Number | OPC1598 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0782009-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DE CANIO SALVATORE F | Agent | 628 Cypress Key Circle, Atlantis, FL, 334621234 |
| Name | Role | Address |
|---|---|---|
| DE CANIO SALVATORE F | President | 628 Cypress Key Circle, Atlantis, FL, 334621234 |
| Name | Role | Address |
|---|---|---|
| DE CANIO SALVATORE F | Treasurer | 628 Cypress Key Circle, Atlantis, FL, 334621234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000157833 | CHOICE VISION CARE & WELLNESS | ACTIVE | 2024-12-29 | 2029-12-31 | No data | 628 CYPRESS KEY CIRCLE, ATLANTIS, FL, 33462-1234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-04 | 628 Cypress Key Circle, Atlantis, FL 33462-1234 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-04 | 628 Cypress Key Circle, Atlantis, FL 33462-1234 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-04 | 628 Cypress Key Circle, Atlantis, FL 33462-1234 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-24 | DE CANIO, SALVATORE F | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-03 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
