| Entity Name: | SIGHTTRUST EYE INSTITUTE SURGERY CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jun 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Nov 2019 (5 years ago) |
| Document Number: | P12000055353 |
| FEI/EIN Number | 45-5533965 |
| Address: | 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL, 33323, US |
| Mail Address: | 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447514435 | 2012-06-25 | 2012-06-25 | 1601 SAWGRASS CORPORATE PKWY, SUITE 430, SUNRISE, FL, 333232883, US | 1601 SAWGRASS CORPORATE PKWY, SUITE 430, SUNRISE, FL, 333232883, US | |||||||||||||||||||
|
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| Phone | +1 954-653-0100 |
| Fax | 9546075977 |
Authorized person
| Name | DR. ANDREW CHARLES SHATZ |
| Role | MEDICAL DIRECTOR |
| Phone | 9546530100 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| License Number | OSR 837 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shatz Andrew C | Agent | 1601 SAWGRASS CORPORATE PKWY SUITE 430, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Shatz Andrew CDr. | Chief Executive Officer | 1601 Sawgrass Corporate Pkwy, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Wiltshire Victoria | Chief Operating Officer | 1601 SAWGRASS CORPORATE PKWY SUITE 430, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-06 | 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-06 | 1000 Sawgrass Corporate Parkway, Suite 500, SUNRISE, FL 33323 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-19 | Shatz, Andrew C | No data |
| AMENDMENT | 2019-11-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-02-19 |
| Amendment | 2019-11-06 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
