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JERIN JOSEPH OD, PA - Florida Company Profile

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Company Details

Entity Name: JERIN JOSEPH OD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Jun 2021 (4 years ago)
Document Number: P21000056327
FEI/EIN Number 87-1213931
Mail Address: 7643 GATE PARKWAY, JACKSONVILLE, FL, 32256, US
Address: 13159 City Center Blvd, JACKSONVILLE, FL, 32218, US
ZIP code: 32218
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOSEPH JERIN President 7643 GATE PARKWAY, JACKSONVILLE, FL, 32256
JOSEPH JERIN Agent 7643 GATE PARKWAY, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1437841210
Certification Date:
2023-05-22

Authorized Person:

Name:
DR. JERIN JOSEPH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000059215 PLATINUM EYE CARE ACTIVE 2023-05-10 2028-12-31 - 7643 GATE PARKWAY SUITE 104-2, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 13159 City Center Blvd, Space L-104, JACKSONVILLE, FL 32218 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-09 7643 GATE PARKWAY, SUITE 104-2, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2023-05-11 13159 City Center Blvd, Space L-104, JACKSONVILLE, FL 32218 -

Documents

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State