| Entity Name: | JACQUELINE E ZERMENO, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jan 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000002776 |
| Address: | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Mail Address: | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194110403 | 2015-04-02 | 2015-04-02 | 1621 HOLLAND ST, MELBOURNE, FL, 329352826, US | 3550 S WASHINGTON AVE, TITUSVILLE, FL, 327808627, US | |||||||||||||||||||||
|
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| Phone | +1 321-412-1983 |
| Fax | 3213830788 |
| Phone | +1 321-268-9239 |
Authorized person
| Name | DR. JACQUELINE ELIZA ZERMENO |
| Role | OPTOMETRIST |
| Phone | 3214121983 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 4604 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZERMENO JACQUELINE E | Agent | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| ZERMENO JACQUELINE E | President | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| ZERMENO JACQUELINE E | Secretary | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| ZERMENO JACQUELINE E | Treasurer | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| ZERMENO JACQUELINE E | Director | 1621 HOLLAND STREET, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
