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 |
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 | |||||||||||||
|
Phone | +1 865-591-7754 |
Authorized person
Name | ERIN M NEAL |
Role | PRESIDENT |
Phone | 8655917754 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CINDRIC BRYAN A | Agent | 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311 |
Name | Role | Address |
---|---|---|
NEAL ERIN M | Owne | 2124 FERNLEIGH DRIVE, TALLAHASSEE, FL, 32311 |
Name | Role | Address |
---|---|---|
Cindric Bryan | Busi | 2124 Fernleigh Drive, Tallahassee, FL, 32311 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-02-13 | 4067 Lagniappe Way, Tallahassee, FL 32317 | No data |
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