| Entity Name: | SUN COAST EYE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Aug 1997 (27 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P97000075448 |
| FEI/EIN Number | 59-3465133 |
| Address: | 2451 MCMULLEN BOOTH RD N, STE 221, CLEARWATER, FL 33759 |
| Mail Address: | 2451 MCMULLEN BOOTH RD N, STE 221, CLEARWATER, FL 33759 |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609063478 | 2007-09-26 | 2014-12-29 | 2451 MCMULLEN BOOTH RD, SUITE 221, CLEARWATER, FL, 33759, US | 2451 MCMULLEN BOOTH RD, SUITE 221, CLEARWATER, FL, 33759, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-216-6214 |
| Fax | 7274310363 |
Authorized person
| Name | DR. MARY LOU SMITH |
| Role | SECRETARY TREASURER |
| Phone | 7272166214 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2660 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620094000 |
| State | FL |
| Issuer | MEDICARE GROUP NUMBER |
| Number | K0046 |
| Name | Role | Address |
|---|---|---|
| SMITH, LELAND KIII | Agent | 2451 MCMULLEN BOOTH RD N. STE221, CLEARWATER, FL 33759 |
| Name | Role | Address |
|---|---|---|
| SMITH, LELAND KIII | Director | 2451 MCMULLEN BOOTH RD N. STE 221, CLEARWATER, FL 33759 |
| SMITH, MARY LOU | Director | 2451 MCMULLEN BOOTH RD N. STE 221, CLEARWATER, FL 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-29 | 2451 MCMULLEN BOOTH RD N, STE 221, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-29 | 2451 MCMULLEN BOOTH RD N, STE 221, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 2451 MCMULLEN BOOTH RD N. STE221, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-04-12 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
