| Entity Name: | DOUGLAS REYNOLDS, O.D. SANTA ROSA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Aug 2017 (8 years ago) |
| Document Number: | P17000064634 |
| FEI/EIN Number | 32-0539382 |
| Address: | 4377 Woodbine Road, Pace, FL, 32571, US |
| Mail Address: | 460 E. NINE MILE ROAD, PENSACOLA, FL, 32514, US |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891207742 | 2017-11-01 | 2018-06-16 | 460 E NINE MILE RD, PENSACOLA, FL, 325141441, US | 4377 WOODBINE RD, PACE, FL, 325718792, US | |||||||||||||||||||||||
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| Phone | +1 850-477-1499 |
| Fax | 8504793359 |
| Phone | +1 850-995-4555 |
| Fax | 8509954556 |
Authorized person
| Name | DOUGLAS REYNOLDS |
| Role | OWNER |
| Phone | 8504771499 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3828 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REYNOLDS DOUGLAS O.D. | Agent | 460 E. NINE MILE ROAD, PENSACOLA, FL, 32514 |
| Name | Role | Address |
|---|---|---|
| REYNOLDS DOUGLAS OD | Director | 460 E. NINE MILE ROAD, PENSACOLA, FL, 32514 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000000295 | GULF COAST VISION CENTER | ACTIVE | 2022-01-03 | 2027-12-31 | No data | 460 EAST NINE MILE ROAD, PENSACOLA, FL, 32414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 4377 Woodbine Road, Pace, FL 32571 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-16 |
| Domestic Profit | 2017-08-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
