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  5. MULLIS EYE INSTITUTE, INC.

MULLIS EYE INSTITUTE, INC.

Company Details

Entity Name: MULLIS EYE INSTITUTE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Dec 1994 (30 years ago)
Document Number: P94000090720
FEI/EIN Number 593286216
Address: 1600 JENKS AVENUE, PANAMA CITY, FL, 32405, US
Mail Address: 1600 JENKS AVENUE, PANAMA CITY, FL, 32405, US
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760726657 2012-11-16 2012-11-16 1600 JENKS AVE, PANAMA CITY, FL, 324054000, US 1600 JENKS AVE, PANAMA CITY, FL, 324054000, US

Contacts
Phone +1 850-763-6666

Authorized person
Name DEBORAH LUZNY
Role ADMINISTRATOR
Phone 8507636666

Taxonomy
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 301351100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MULLIS EYE INSTITUTE 401K PLAN 2022 593286216 2024-02-15 MULLIS EYE INSTITUTE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, SUITE 3, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2021 593286216 2022-10-17 MULLIS EYE INSTITUTE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, SUITE 3, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2020 593286216 2021-10-15 MULLIS EYE INSTITUTE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, SUITE 3, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2019 593286216 2021-01-08 MULLIS EYE INSTITUTE 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2018 593286216 2019-10-02 MULLIS EYE INSTITUTE 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2017 593286216 2018-09-07 MULLIS EYE INSTITUTE 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2016 593286216 2017-07-11 MULLIS EYE INSTITUTE 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2015 593286216 2016-09-27 MULLIS EYE INSTITUTE 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2014 593286216 2015-07-24 MULLIS EYE INSTITUTE 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405
MULLIS EYE INSTITUTE 401K PLAN 2013 593286216 2014-07-03 MULLIS EYE INSTITUTE 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 8507636666
Plan sponsor’s address 1600 JENKS AVENUE, PANAMA CITY, FL, 32405

Agent

Name Role Address
EMERSON LESLIE Agent 1600 JENKS AVENUE, PANAMA CITY, FL, 32402

President

Name Role Address
HIRSCH JOHN President 12548 LAKE DENISE BLVD, CLERMONT, FL, 34711

Vice President

Name Role Address
Zolla Ron Vice President 1 Michael Succi Drive, Portsmouth, NH, 03801

Secretary

Name Role Address
HIRSCH JOHN Secretary 12548 LAKE DENISE BLVD, CLERMONT, FL, 34711

Treasurer

Name Role Address
ZOLLA RON Treasurer 1 MICHAEL SUCCI RD, PORTSMOUTH, NH, 03801

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REINSTATEMENT 2021-04-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2015-10-19 No data No data

Related by officers

HIRSCH JOHN

TRUSTED PROFESSIONAL PARK CONDOMINIUM ASSOCIATION, INC. PANHANDLE MEDICAL PLAZA, INC. DAYTONA OPHTHALMIC SERVICES, INC.

Zolla Ron

BETHEL CREEK TOWNHOUSES CONDOMINIUM ASSOCIATION, INC.

ZOLLA RON

DAYTONA OPHTHALMIC SERVICES, INC.

EMERSON LESLIE

HMZ, L.L.C.

Related by address

1600 JENKS AVENUE, PANAMA CITY, FL, 32405, US

HMZ, L.L.C.

1600 JENKS AVENUE, PANAMA CITY, FL, 32405, US

HMZ, L.L.C.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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