| Entity Name: | JEFFREY D.HIXENBAUGH, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jan 1993 (32 years ago) |
| Document Number: | P93000006999 |
| FEI/EIN Number | 650387136 |
| Address: | 3101 PGA BLVD., A101, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 3101 PGA BLVD., A101, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235279019 | 2007-02-08 | 2007-09-15 | 3101 PGA BLVD, SUITE A101, PALM BEACH GARDENS, FL, 334102820, US | 3101 PGA BLVD, SUITE A101, PALM BEACH GARDENS, FL, 334102820, US | |||||||||||||||||||
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| Phone | +1 561-627-8185 |
| Fax | 5616276456 |
Authorized person
| Name | DR. JEFFREY DARRIN HIXENBAUGH |
| Role | PRESIDENT |
| Phone | 5616278185 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2588 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HIXENBAUGH JEFFREY D | Agent | 3101 PGA BLVD #A101, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| HIXENBAUGH JEFFREY D | President | 3101 PGA BLVD #A101, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| HIXENBAUGH ANTOINETTE M | Secretary | 13177 Faberge Place, Palm Beach Gardens, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-07-01 | 3101 PGA BLVD., A101, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2004-07-01 | 3101 PGA BLVD., A101, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-07-01 | 3101 PGA BLVD #A101, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-01 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
