| Entity Name: | ADVANCED VISION CARE OF KENDALL INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Aug 2014 (10 years ago) |
| Document Number: | P14000070264 |
| FEI/EIN Number | 47-1657840 |
| Address: | 11605 NORTH KENDALL DRIVE, MIAMI, FL, 33176, US |
| Mail Address: | 11605 NORTH KENDALL DRIVE, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033519186 | 2014-08-26 | 2019-07-24 | 11605 N KENDALL DR, MIAMI, FL, 33176, US | 11605 N KENDALL DR, MIAMI, FL, 33176, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-982-8927 |
| Fax | 3056476120 |
Authorized person
| Name | AMIR CUKIERMAN |
| Role | PRESIDENT |
| Phone | 9548501454 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2861 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620607700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CUKIERMAN AMIR | Agent | 11605 NORTH KENDALL DRIVE, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| CUKIERMAN AMIR | President | 11605 NORTH KENDALL DRIVE, MIAMI, FL, 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000080574 | ADVANCED VISION OF KENDALL | EXPIRED | 2019-07-29 | 2024-12-31 | No data | 11605 N. KENDALL DRIVE, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-30 | 11605 NORTH KENDALL DRIVE, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 11605 NORTH KENDALL DRIVE, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 11605 NORTH KENDALL DRIVE, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-08-30 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
