| Entity Name: | SHANE RETINA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Mar 2012 (13 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Dec 2023 (a year ago) |
| Document Number: | P12000028981 |
| FEI/EIN Number | 45-4893062 |
| Address: | 2401 UNIVERSITY PARKWAY, SUITE 205, SARASOTA, FL 34243 |
| Mail Address: | 2401 University Parkway, Building 1, Suite 205, Sarasota, FL 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518213602 | 2012-07-26 | 2024-03-06 | 2401 UNIVERSITY PKWY STE 205, SARASOTA, FL, 342432973, US | 2401 UNIVERSITY PKWY, BUILDING 1, SUITE 205, SARASOTA, FL, 342432893, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 941-351-1200 |
| Fax | 9413511201 |
Authorized person
| Name | DR. THOMAS SCOTT SHANE |
| Role | OWNER |
| Phone | 9413511200 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME106610 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHANE, THOMAS S | Agent | 2401 University Pkwy, Suite 205, Sarasota, FL 34243 |
| Name | Role | Address |
|---|---|---|
| Shane, Thomas S | President | 2401 University Pkwy, Suite 205 Sarasota, FL 34243 |
| Name | Role | Address |
|---|---|---|
| Shane, Thomas S | Vice President | 2401 University Pkwy, Suite 205 Sarasota, FL 34243 |
| Name | Role | Address |
|---|---|---|
| Shane, Thomas S | Secretary | 2401 University Pkwy, Suite 205 Sarasota, FL 34243 |
| Name | Role | Address |
|---|---|---|
| Shane, Thomas S | Treasurer | 2401 University Pkwy, Suite 205 Sarasota, FL 34243 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000113717 | VENICE RETINA | ACTIVE | 2024-09-11 | 2029-12-31 | No data | 2401 UNIVERSITY PKWY, SUITE 205, SARASOTA, FL, 34243 |
| G23000001381 | VENICE RETINA | ACTIVE | 2023-01-04 | 2028-12-31 | No data | 2401 UNIVERSITY PARKWAY, SUITE 205, SARASOTA, FL, 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-12-14 | SHANE RETINA, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-20 | 2401 University Pkwy, Suite 205, Sarasota, FL 34243 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-23 | 2401 UNIVERSITY PARKWAY, SUITE 205, SARASOTA, FL 34243 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-12 | 2401 UNIVERSITY PARKWAY, SUITE 205, SARASOTA, FL 34243 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-02-03 |
| Name Change | 2023-12-14 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-10 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
