| Entity Name: | FERNANDO L. SILVA, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jan 1996 (29 years ago) |
| Document Number: | P96000008481 |
| FEI/EIN Number | 65-0638276 |
| Address: | 3230 West Flagler Street, MIAMI, FL 33135 |
| Mail Address: | 3230 West Flagler Street, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346571585 | 2010-01-28 | 2020-03-30 | 3230 W FLAGLER ST, MIAMI, FL, 331351153, US | 3230 W FLAGLER ST, MIAMI, FL, 331351153, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-858-2228 |
| Fax | 3054469244 |
Authorized person
| Name | DR. FERNANDO LUIS SILVA |
| Role | OPTOMETRIST/OWNER |
| Phone | 3058582228 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OP0002309 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 078582200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVA, FERNANDO LO.D. | Agent | 3230 West Flagler Street, MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| SILVA, FERNANDO L | President | 3230 West Flagler Street, MIAMI, FL 33135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000015269 | THE EYE INSTITUTE OF SOUTH FLORIDA | ACTIVE | 2020-02-03 | 2025-12-31 | No data | 3230 W FLAGLER ST, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-08 | 3230 West Flagler Street, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-08 | 3230 West Flagler Street, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-08 | 3230 West Flagler Street, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
