Search icon

FLORIDA PEDIATRIC EYE SPECIALISTS, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA PEDIATRIC EYE SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA PEDIATRIC EYE SPECIALISTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Jul 2012 (13 years ago)
Last Event: AMENDED AND RESTATEDARTICLES/NAME CHANGE
Event Date Filed: 15 Sep 2020 (5 years ago)
Document Number: P12000064119
FEI/EIN Number 36-4739430

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: PO BOX 2677, BRANDON, FL, 33509, US
Address: 403 VONDERBURG DRIVE, BRANDON, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770837874 2012-10-29 2021-08-10 403 VONDERBURG DR, BRANDON, FL, 335115982, US 3115 W SWANN AVE, TAMPA, FL, 336094617, US

Contacts

Phone +1 813-681-1122
Fax 8136844924
Phone +1 813-879-7711

Authorized person

Name MR. GREGORY L HENDERSON SR.
Role PRESIDENT
Phone 8136811122

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes
Taxonomy Code 207WX0110X - Pediatric Ophthalmology and Strabismus Specialist Physician Physician
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 0537934-00
State FL

Key Officers & Management

Name Role Address
HENDERSON GREGORY LM.D. President 403 VONDERBURG DRIVE, BRANDON, FL, 33511
HENDERSON GREGORY LM.D. Director 403 VONDERBURG DRIVE, BRANDON, FL, 33511
Hauser Brian Chief Executive Officer 403 VONDERBURG DRIVE, BRANDON, FL, 33511
Brisch Christopher Chief Financial Officer 403 VONDERBURG DRIVE, BRANDON, FL, 33511
HENDERSON GREGORY LM.D. Agent 403 VONDERBURG DRIVE, BRANDON, FL, 33511

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000104006 GUGGINO EYE EXPIRED 2019-09-23 2024-12-31 - 3109 W. SWANN AVENUE, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-22 403 VONDERBURG DRIVE, BRANDON, FL 33511 -
CHANGE OF MAILING ADDRESS 2021-04-22 403 VONDERBURG DRIVE, BRANDON, FL 33511 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-22 403 VONDERBURG DRIVE, BRANDON, FL 33511 -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2020-09-15 FLORIDA PEDIATRIC EYE SPECIALISTS, INC. -
REGISTERED AGENT NAME CHANGED 2020-09-15 HENDERSON, GREGORY L, M.D. -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-22
Amended/Restated Article/NC 2020-09-15
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-11

Date of last update: 03 Mar 2025

Sources: Florida Department of State