| Entity Name: | OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE CORP is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Feb 2016 (9 years ago) |
| Document Number: | P16000012198 |
| FEI/EIN Number |
475519145
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4100 S Ferdon Blvd, CRESTVIEW, FL, 32536, US |
| Mail Address: | 4100 S Ferdon Blvd, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831543362 | 2016-04-21 | 2016-10-24 | 1299 INDUSTRIAL DR, SUITE 200, CRESTVIEW, FL, 325398946, US | 1299 INDUSTRIAL DR, SUITE 200, CRESTVIEW, FL, 325398946, US | |||||||||||||||||||||||||||
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| Phone | +1 850-683-3937 |
| Fax | 8506830227 |
Authorized person
| Name | TIFFANY KRUGER |
| Role | OWNER |
| Phone | 8508262903 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | MYHJK |
| State | FL |
| Issuer | MEDICAID |
| Number | 017548800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRUGER TIFFANY L | President | 4100 S FERDON BLVD, CRESTVIEW, FL, 32536 |
| KRUGER TIFFANY L | Agent | 4100 S Ferdon Blvd, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 4100 S Ferdon Blvd, SUITE C2, CRESTVIEW, FL 32536 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-19 | 4100 S Ferdon Blvd, SUITE C2, CRESTVIEW, FL 32536 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-19 | 4100 S Ferdon Blvd, SUITE C2, CRESTVIEW, FL 32536 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-10 |
| Domestic Profit | 2016-02-05 |
Date of last update: 03 May 2025
Sources: Florida Department of State
