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ERIN M NEAL OD, PA

Company Details

Entity Name: ERIN M NEAL OD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jun 2020 (5 years ago)
Document Number: P20000044583
FEI/EIN Number 85-1331769
Address: 4067 Lagniappe Way, Tallahassee, FL, 32317, US
Mail Address: 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311
ZIP code: 32317
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750999827 2020-07-15 2020-07-15 2124 FERNLEIGH DR, TALLAHASSEE, FL, 323117884, US 1535 CENTERVILLE RD, TALLAHASSEE, FL, 323084605, US

Contacts

Phone +1 865-591-7754

Authorized person

Name ERIN M NEAL
Role PRESIDENT
Phone 8655917754

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
CINDRIC BRYAN A Agent 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311

Owne

Name Role Address
NEAL ERIN M Owne 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311

Busi

Name Role Address
Cindric Bryan Busi 2124 Fernleigh Drive, Tallahassee, FL, 32311

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000164578 TALLY EYE ACTIVE 2021-12-12 2026-12-31 No data 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-13 4067 Lagniappe Way, Tallahassee, FL 32317 No data

Documents

Name Date
ANNUAL REPORT 2024-02-17
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-03-29
Domestic Profit 2020-06-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State