| Entity Name: | PELT EYE CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PELT EYE CLINIC, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Feb 1996 (29 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | P96000010070 |
| FEI/EIN Number |
593357063
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4340 LAFAYETTE STREET, MARIANNA, FL, 32446, US |
| Mail Address: | P O BOX 6054, MARIANNA, FL, 32447, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336173350 | 2006-07-10 | 2008-03-28 | PO BOX 6054, MARIANNA, FL, 324476054, US | 4340 LAFAYETTE ST, MARIANNA, FL, 324462916, US | |||||||||||||||||||||
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| Phone | +1 850-482-2336 |
| Fax | 8505265337 |
Authorized person
| Name | DR. ALAN E PELT |
| Role | PRESIDENT |
| Phone | 8504822336 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620847900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PELT ALAN EUGENE | President | 4565 RED OAK TRACE, MARIANNA, FL, 32446 |
| PELT DAVID GLENN | Vice President | 4506 RED OAK TRACE, MARIANNA, FL, 32446 |
| PELT DAVID GLENN | Secretary | 4506 RED OAK TRACE, MARIANNA, FL, 32446 |
| FUQUA MATTHEW H | Agent | 4450 LAFAYETTE STREET, MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2008-01-20 | FUQUA, MATTHEW H | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-20 | 4450 LAFAYETTE STREET, MARIANNA, FL 32446 | - |
| CHANGE OF PRINCIPAL ADDRESS | 1999-04-01 | 4340 LAFAYETTE STREET, MARIANNA, FL 32446 | - |
| CHANGE OF MAILING ADDRESS | 1999-04-01 | 4340 LAFAYETTE STREET, MARIANNA, FL 32446 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-10 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
