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  5. FLORIDA RETINA SPECIALISTS, P.A.

FLORIDA RETINA SPECIALISTS, P.A.

Company Details

Entity Name: FLORIDA RETINA SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Apr 2014 (11 years ago)
Document Number: P14000036064
FEI/EIN Number 46-5485660
Address: 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953, US
Mail Address: 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710394622 2014-07-14 2020-10-09 280 N SYKES CREEK PKWY STE B, MERRITT ISLAND, FL, 329533491, US 280 N SYKES CREEK PKWY, SUITE B, MERRITT ISLAND, FL, 329533491, US

Contacts
Phone +1 321-735-8800
Fax 3217358898

Authorized person
Name JULIET VENZARA
Role PRACTICE ADMINISTRATOR
Phone 3217358800

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA RETINA SPECIALISTS, P.A. CASH BALANCE PLAN 2023 465485660 2024-08-26 FLORIDA RETINA SPECIALISTS, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2023 465485660 2024-05-13 FLORIDA RETINA SPECIALISTS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. CASH BALANCE PLAN 2022 465485660 2023-08-30 FLORIDA RETINA SPECIALISTS, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2022 465485660 2023-08-21 FLORIDA RETINA SPECIALISTS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2021 465485660 2022-06-28 FLORIDA RETINA SPECIALISTS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. CASH BALANCE PLAN 2021 465485660 2022-07-15 FLORIDA RETINA SPECIALISTS, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2020 465485660 2021-03-26 FLORIDA RETINA SPECIALISTS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2021-03-26
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. CASH BALANCE PLAN 2020 465485660 2021-09-30 FLORIDA RETINA SPECIALISTS, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2019 465485660 2020-04-21 FLORIDA RETINA SPECIALISTS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2020-04-21
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature
FLORIDA RETINA SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2018 465485660 2019-02-18 FLORIDA RETINA SPECIALISTS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 3217358800
Plan sponsor’s address 280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953

Signature of
Role Plan administrator
Date 2019-02-18
Name of individual signing JULIET VENZARA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KOSTRO VICTOR SESQ. Agent 701 Thomas Barbour Dr., MELBOURNE, FL, 32935

President

Name Role Address
VENZARA FRANK XIII President 280 N. SYKES CREEK PARKWAY, MERRITT ISLAND, FL, 32953

Chief Operating Officer

Name Role Address
Venzara Juliet Chief Operating Officer 280 N. SYKES CREEK PARKWAY, MERRITT ISLAND, FL, 32953

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-02-09 701 Thomas Barbour Dr., MELBOURNE, FL 32935 No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-06
AMENDED ANNUAL REPORT 2018-07-27
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-03-08

Related by officers

VENZARA FRANK XIII

XAVIER OFFSHORE LLC

Related by address

280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953, US

XAVIER ENTERPRISES, LLC

280 N. SYKES CREEK PARKWAY, SUITE B, MERRITT ISLAND, FL, 32953, US

XAVIER ENTERPRISES, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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