| Entity Name: | INGRID WHITBOURNE-COOKE, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Feb 1998 (27 years ago) |
| Date of dissolution: | 24 Apr 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Apr 2014 (11 years ago) |
| Document Number: | P98000013249 |
| FEI/EIN Number | 593495095 |
| Address: | 4181 N. PINE ISLAND RD., SUNRISE, FL, 33351, US |
| Mail Address: | 4181 N. PINE ISLAND RD., SUNRISE, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588910640 | 2012-07-26 | 2012-07-26 | 4181 N PINE ISLAND RD, SUNRISE, FL, 333516040, US | 4181 N PINE ISLAND RD, SUNRISE, FL, 333516040, US | |||||||||||||||||||||||
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| Phone | +1 954-572-0888 |
Authorized person
| Name | DR. INGRID WHITBOURNE-COOKE |
| Role | PRESIDENT |
| Phone | 9545720888 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3064 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620243800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHITBOURNE COOKE INGRID D | Agent | 4181 N PINE ISLAND ROAD, SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| WHITBOURNE-COOKE INGRID | President | 4181 N. PINE ISLAND RD., SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-10 | 4181 N PINE ISLAND ROAD, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-26 | 4181 N. PINE ISLAND RD., SUNRISE, FL 33351 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-30 | 4181 N. PINE ISLAND RD., SUNRISE, FL 33351 | No data |
| AMENDMENT AND NAME CHANGE | 2001-01-12 | INGRID WHITBOURNE-COOKE, O.D., P.A. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-24 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-06-28 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-04-10 |
| ANNUAL REPORT | 2008-04-22 |
| ANNUAL REPORT | 2007-03-26 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-04-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
