| Entity Name: | DR. JESSICA BLANCO OD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Sep 2012 (12 years ago) |
| Document Number: | P12000077472 |
| FEI/EIN Number | 46-0969506 |
| Address: | 8952 Grand Canal Drive, MIAMI, FL 33174 |
| Mail Address: | 8952 Grand Canal Drive, MIAMI, FL 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528442373 | 2015-07-10 | 2015-07-10 | 8952 GRAND CANAL DR, MIAMI, FL, 331742305, US | 9646 SW 24TH ST, MIAMI, FL, 331658015, US | |||||||||||||||||||
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| Phone | +1 305-582-2598 |
| Phone | +1 305-846-9158 |
Authorized person
| Name | DR. JESSICA BLANCO |
| Role | PRESIDENT |
| Phone | 3055822598 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 4746 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLANCO, JESSICA | Agent | 8952 Grand Canal Drive, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| BLANCO, JESSICA | President | 8952 Grand Canal Drive, MIAMI, FL 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-05 | 8952 Grand Canal Drive, MIAMI, FL 33174 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-05 | 8952 Grand Canal Drive, MIAMI, FL 33174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-05 | 8952 Grand Canal Drive, MIAMI, FL 33174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-05 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
