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SPACE COAST EYE CARE INC.

Company Details

Entity Name: SPACE COAST EYE CARE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Nov 2011 (13 years ago)
Document Number: P11000096587
FEI/EIN Number 453778373
Address: 1051 PORT MALABAR BLVD, #14, PALM BAY, FL, 32905
Mail Address: 1051 PORT MALABAR BLVD, #14, PALM BAY, FL, 32905
ZIP code: 32905
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619245644 2011-12-05 2011-12-05 1051 PORT MALABAR BLVD NE STE 14, PALM BAY, FL, 329055153, US 1051 PORT MALABAR BLVD NE STE 14, PALM BAY, FL, 329055153, US

Contacts

Phone +1 321-474-0491
Fax 3217239397

Authorized person

Name DR. CHRISTOPHER M ALLEN
Role OPTOMETRIST/PRESIDENT
Phone 3217239350

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC4290
State FL
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

President

Name Role Address
ALLEN CHRISTOPHER O President 1051 PORT MALABAR BLVD, #14, PALM BAY, FL, 32905

Secretary

Name Role Address
ALLEN CHRISTOPHER O Secretary 1051 PORT MALABAR BLVD, #14, PALM BAY, FL, 32905

Director

Name Role Address
ALLEN CHRISTOPHER O Director 1051 PORT MALABAR BLVD, #14, PALM BAY, FL, 32905

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-05-04
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State