| Entity Name: | JERIN JOSEPH OD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jun 2021 (4 years ago) |
| Document Number: | P21000056327 |
| FEI/EIN Number | 87-1213931 |
| Address: | 13159 City Center Blvd, Space L-104, JACKSONVILLE, FL 32218 |
| Mail Address: | 7643 GATE PARKWAY, SUITE 104-2, JACKSONVILLE, FL 32256 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437841210 | 2023-05-22 | 2023-05-22 | 7643 GATE PKWY STE 104-2, JACKSONVILLE, FL, 322563092, US | 13159 CITY CENTER BLVD SPACE L-104, JACKSONVILLE, FL, 32218, US | |||||||||||||
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| Phone | +1 904-750-4469 |
Authorized person
| Name | DR. JERIN JOSEPH |
| Role | PRESIDENT |
| Phone | 9543098647 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH, JERIN | Agent | 7643 GATE PARKWAY, SUITE 104-2, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, JERIN | President | 7643 GATE PARKWAY, SUITE 104-2 JACKSONVILLE, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000059215 | PLATINUM EYE CARE | ACTIVE | 2023-05-10 | 2028-12-31 | No data | 7643 GATE PARKWAY SUITE 104-2, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 13159 City Center Blvd, Space L-104, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-09 | 7643 GATE PARKWAY, SUITE 104-2, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-11 | 13159 City Center Blvd, Space L-104, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-16 |
| Domestic Profit | 2021-06-15 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
