| Entity Name: | TNTMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Nov 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2018 (6 years ago) |
| Document Number: | P11000098924 |
| FEI/EIN Number | 453804872 |
| Address: | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259, US |
| Mail Address: | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467867168 | 2014-06-23 | 2014-06-23 | 3890 DUNN AVE, SUITE 902, JACKSONVILLE, FL, 322186428, US | 3890 DUNN AVE, SUITE 902, JACKSONVILLE, FL, 322186428, US | |||||||||||||||||||
|
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| Phone | +1 904-345-3473 |
| Fax | 9042085892 |
Authorized person
| Name | TINA N TILLIS |
| Role | OWNER/ PROVIDER |
| Phone | 9043453473 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME64518 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA M | Agent | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA N | Director | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA N | President | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA N | Vice President | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA N | Secretary | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| TILLIS TINA N | Treasurer | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL, 32259 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000022840 | TILLIS EYE CARE CENTER | EXPIRED | 2017-03-03 | 2022-12-31 | No data | 3890 DUNN AVE., #902, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-16 | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL 32259 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-16 | TILLIS, TINA MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | 1012 EASTWOOD BRANCH DRIVE, ST. JOHNS, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-09 |
| REINSTATEMENT | 2018-10-16 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
