| Entity Name: | OCALA EYE SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jun 1995 (30 years ago) |
| Document Number: | P95000047555 |
| FEI/EIN Number | 593323478 |
| Address: | 3330 SW 33RD ROAD, OCALA, FL, 34474-7458, US |
| Mail Address: | 3330 SW 33RD ROAD, OCALA, FL, 34474-7458, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447025473 | 2023-11-20 | 2024-04-22 | 3330 SW 33RD RD, OCALA, FL, 344747458, US | 3102 COUNTY ROAD 507, WILDWOOD, FL, 347857845, US | |||||||||||||||
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| Phone | +1 352-873-9311 |
| Fax | 3528739652 |
Authorized person
| Name | ANN T HOTALING |
| Role | DIRECTOR |
| Phone | 3528739311 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMY CHANDER NDr. | Agent | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| MORRIS MICHAEL M | Vice President | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| POLACK PETER M | Vice President | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| ARMSTRONG JODIE M | Vice President | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| AHMED HINA M | Vice President | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| ELHALIS HUSSAIN M | Vice President | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| ELMALLAH MOHAMMED M | Secretary | 4414 SW COLLEGE ROAD, OCALA, FL, 34474 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000099556 | OCALA EYE SURGERY CENTER AT WILDWOOD | ACTIVE | 2023-08-25 | 2028-12-31 | No data | 4414 SW COLLEGE ROAD,SUITE 1462593323478, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 1998-07-20 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
