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LIZ VAWTER OD, PA

Company Details

Entity Name: LIZ VAWTER OD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 2019 (6 years ago)
Document Number: P19000043675
FEI/EIN Number 84-1927391
Address: 2020 Manatee Ave w, Bradenton, FL, 34205, US
Mail Address: 3811 2ND DR NE, BRADENTON, FL, 34208
ZIP code: 34205
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962019471 2020-09-29 2020-09-29 3811 2ND DR NE, BRADENTON, FL, 342085075, US 2020 MANATEE AVE W, BRADENTON, FL, 342055856, US

Contacts

Phone +1 941-224-9382
Phone +1 941-747-1831

Authorized person

Name ELIZABETH KATHRYN VAWTER
Role PRESIDENT
Phone 9412249382

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes
Taxonomy Code 152WC0802X - Corneal and Contact Management Optometrist
Is Primary No

Agent

Name Role Address
VAWTER SCOTT Agent 3811 2ND DR NE, BRADENTON, FL, 34208

President

Name Role Address
VAWTER ELIZABETH President 3811 2ND DR NE, BRADENTON, FL, 34208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000014675 2020 FAMILY VISION CARE ACTIVE 2021-01-29 2026-12-31 No data 2020 MANATEE AVE W, BRADENTON, FL, 34205

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-01 2020 Manatee Ave w, Bradenton, FL 34205 No data
CHANGE OF MAILING ADDRESS 2024-02-01 2020 Manatee Ave w, Bradenton, FL 34205 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-13 2020 Manatee Ave w, Bradenton, FL 34205 No data

Documents

Name Date
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-16
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-27
Domestic Profit 2019-05-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State