| Entity Name: | DR. FORREST AND ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 May 1995 (30 years ago) |
| Document Number: | P95000042646 |
| FEI/EIN Number | 650586773 |
| Mail Address: | 700 South Dale Mabry Hwy, Tampa, FL, 33609, US |
| Address: | 700 South Dale Mabry Hwy, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154537108 | 2007-05-15 | 2021-03-19 | 700 S DALE MABRY HWY, TAMPA, FL, 336094409, US | 700 S DALE MABRY HWY, TAMPA, FL, 336094409, US | |||||||||||||||||||
|
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| Phone | +1 813-877-4935 |
Authorized person
| Name | DEBBIE FORREST |
| Role | PRESIDENT |
| Phone | 8138774935 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008780100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FORREST BRETT | Agent | 700 South Dale Mabry Hwy, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| FORREST BRETT | President | 700 SOUTH DALE MABRY HWY, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 700 South Dale Mabry Hwy, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 700 South Dale Mabry Hwy, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 700 South Dale Mabry Hwy, Tampa, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-10 | FORREST, BRETT | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-03-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
