| Entity Name: | FLORIDA PHYSICIANS EYECARE GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 May 2018 (7 years ago) |
| Document Number: | P18000045353 |
| FEI/EIN Number | 83-0624149 |
| Address: | 1615 SOUTH CONGRESS AVENUE, Suite 105, Delray Beach, FL 33445 |
| Mail Address: | 1615 S. CONGRESS AVE., Suite 105, PALM SPRINGS, FL 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710469556 | 2018-08-29 | 2024-09-03 | 1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL, 334456326, US | 16800 NW 67TH AVE, HIALEAH, FL, 330154204, US | |||||||||||||
|
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| Phone | +1 561-433-6009 |
Authorized person
| Name | ALISHA JACKSON |
| Role | SENIOR REVENUE CYCLE MANAGER |
| Phone | 5612081591 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Parsons, Michael, MD | President | 1615 S. CONGRESS AVE., Suite 105 Delray Beach, FL 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-17 | 1615 SOUTH CONGRESS AVENUE, Suite 105, Delray Beach, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-17 | 1615 SOUTH CONGRESS AVENUE, Suite 105, Delray Beach, FL 33445 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-12 | C T CORPORATION SYSTEM | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-03-07 |
| Domestic Profit | 2018-05-16 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
