| Entity Name: | ANGIE R. PEI, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jun 1998 (27 years ago) |
| Document Number: | P98000051447 |
| FEI/EIN Number | 593518342 |
| Address: | 3401 Henderson Blvd., TAMPA, FL, 33609, US |
| Mail Address: | 810 S LAKEVIEW RD, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750652020 | 2012-01-19 | 2012-01-19 | 5135 S DALE MABRY HWY, TAMPA, FL, 336113505, US | 5135 S DALE MABRY HWY, TAMPA, FL, 336113505, US | |||||||||||||||||||
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| Phone | +1 813-902-1710 |
| Fax | 8138057901 |
Authorized person
| Name | ANGIE PEI |
| Role | OWNER/PRESIDENT |
| Phone | 8134941436 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3037 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEI ANGIE R | Agent | 810 S LAKEVIEW RD, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| PEI ANGIE R | President | 810 S LAKEVIEW RD, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-06 | 3401 Henderson Blvd., Suite D, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2004-03-22 | 3401 Henderson Blvd., Suite D, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-22 | 810 S LAKEVIEW RD, TAMPA, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-02-19 | PEI, ANGIE R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-03-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8718177702 | 2020-05-01 | 0455 | PPP | 3401 Henderson Blvd. Suite D, Tampa, FL, 33609 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
