| Entity Name: | GEORGE LINSEY, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Nov 1994 (30 years ago) |
| Document Number: | P94000081928 |
| FEI/EIN Number | 593276764 |
| Address: | 17633 Gunn Hwy, Suite 364, Odessa, FL, 33556, US |
| Mail Address: | 17633 Gunn Hwy, Suite 364, Odessa, FL, 33556, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942345087 | 2007-02-20 | 2011-12-07 | 12964 N DALE MABRY HWY, TAMPA, FL, 336182806, US | 12964 N DALE MABRY HWY, TAMPA, FL, 336182806, US | |||||||||||||||||||||||||
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| Phone | +1 813-960-8896 |
| Fax | 8139603248 |
Authorized person
| Name | DR. GEORGE ALAN LINSEY |
| Role | DR. LINSEY |
| Phone | 8139608896 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OB2884 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620758800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LINSEY GEORGE | Agent | 17633 Gunn Hwy, Odessa, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| LINSEY GEORGE | Director | 13930 SHADY SHORES DRIVE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2004-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
