| Entity Name: | JEFFREY B. ROBIN, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jan 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P13000002588 |
| FEI/EIN Number | 61-1701752 |
| Address: | 4044 W. LAKE MARY BLVD, UNIT 104 #125, LAKE MARY, FL, 32746, US |
| Mail Address: | 4044 W. LAKE MARY BLVD, UNIT 104 #125, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164769808 | 2013-01-15 | 2013-03-06 | 4044 W LAKE MARY BLVD, UNIT 104, #125, LAKE MARY, FL, 327462012, US | 1455 W HOLDEN AVE, ORLANDO, FL, 328391702, US | |||||||||||||||||||||
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| Phone | +1 407-587-5137 |
| Fax | 8662055839 |
| Phone | +1 407-545-3588 |
Authorized person
| Name | DR. JEFFREY BLAIR ROBIN |
| Role | PRESIDENT |
| Phone | 4075875137 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME78631 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBIN JEFFREY B | Agent | 4044 W. LAKE MARY BLVD, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ROBIN JEFFREY B | President | 4044 W. LAKE MARY BLVD, UNIT 104 #125, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ROBIN MARY ANN A | Vice President | 4044 W. LAKE MARY BLVD; UNIT 104 #125, LAKE MARY, FL, 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000016614 | ROBIN VISION INSTITUTE | EXPIRED | 2013-02-16 | 2018-12-31 | No data | 4044 W. LAKE MARY BLVD, UNIT 104 #125, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| Domestic Profit | 2013-01-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
