| Entity Name: | ACUSIGHT, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Sep 2015 (9 years ago) |
| Date of dissolution: | 06 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Apr 2022 (3 years ago) |
| Document Number: | P15000076908 |
| FEI/EIN Number | 47-5101335 |
| Address: | 425 Dunhill View Ct, alpharetta, GA, 30005, US |
| Mail Address: | 425 Dunhill View Ct, alpharetta, GA, 30005, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831569631 | 2015-10-06 | 2017-11-25 | 8252 NW 15TH CT, CORAL SPRINGS, FL, 330716211, US | 3001 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333131913, US | |||||||||||||||||||
|
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| Phone | +1 954-733-2066 |
Authorized person
| Name | INGRID WHITBOURNE-COOKE |
| Role | PRESIDENT |
| Phone | 9547062037 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620243800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dave John CPA | Agent | 4788 West Commercial Blvd, Tamarac, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| WHITBOURNE-COOKE INGRID | President | 425 Dunhill View Ct, alpharetta, GA, 30005 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-01 | 425 Dunhill View Ct, alpharetta, GA 30005 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-05-01 | Dave John CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-01 | 4788 West Commercial Blvd, Tamarac, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-26 | 425 Dunhill View Ct, alpharetta, GA 30005 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-06 |
| AMENDED ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-09-18 |
| Domestic Profit | 2015-09-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
