| Entity Name: | ST. PETERSBURG EYE CARE SPECIALISTS P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Feb 2013 (12 years ago) |
| Document Number: | P13000010995 |
| FEI/EIN Number | 46-1952776 |
| Address: | 1900 1st Ave North, St. Petersburg, FL, 33713, US |
| Mail Address: | 1900 First Ave N, St Petersburg, FL, 33713, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568865038 | 2014-09-29 | 2015-06-15 | 929 1ST AVE N, SAINT PETERSBURG, FL, 337051501, US | 929 1ST AVE N, SAINT PETERSBURG, FL, 337051501, US | |||||||||||||||||||||||
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| Phone | +1 727-898-3155 |
Authorized person
| Name | TARA CAMARGO |
| Role | PRESIDENT |
| Phone | 7275432928 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4723 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006512300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMARGO JEREMY | Agent | 1900 First Ave N, St Petersburg, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| Camargo TARA KDr. | President | 1900 First Ave N, St Petersburg, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| Camargo TARA KDr. | Secretary | 1900 First Ave N, St Petersburg, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| Camargo TARA KDr. | Treasurer | 1900 First Ave N, St Petersburg, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-28 | 1900 1st Ave North, St. Petersburg, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-28 | 1900 1st Ave North, St. Petersburg, FL 33713 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-28 | 1900 First Ave N, St Petersburg, FL 33713 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
