| Entity Name: | TOMOKA EYE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Nov 1998 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 May 2023 (2 years ago) |
| Document Number: | P98000094377 |
| FEI/EIN Number | 593534775 |
| Mail Address: | 790 DUNLAWTON AVE, ATTN LINDA PARKER, PORT ORANGE, FL, 32127, US |
| Address: | 345 CLYDE MORRIS BLVD, SUITE 330, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376595835 | 2006-05-16 | 2020-03-06 | 21 HOSPITAL DR, SUITE 160, PALM COAST, FL, 321642452, US | 21 HOSPITAL DR, SUITE 160, PALM COAST, FL, 321642454, US | |||||||||||||||
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| Phone | +1 386-586-3711 |
| Fax | 3865863788 |
Authorized person
| Name | ALLISON KERN |
| Role | OFFICE/BILLING MANAGER |
| Phone | 3865068403 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOMOKA EYE ASSOCIATES 401(K) PROFIT SHARING PLAN | 2018 | 593534775 | 2019-03-14 | TOMOKA EYE ASSOCIATES, P.A. | 99 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-03-14 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-03-14 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2016-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3866724448 |
| Plan sponsor’s address | 345 CLYDE MORRIS BLVD., SUITE 330, ORMOND BEACH, FL, 32174 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-16 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-10-16 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2016-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3865068400 |
| Plan sponsor’s address | 345 CLYDE MORRIS BLVD., SUITE 330, ORMOND BEACH, FL, 32174 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-18 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-09-18 |
| Name of individual signing | WILLIAM WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MYER RORY AM.D. | Agent | 345 CLYDE MORRIS BLVD., ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| MYER RORY AM.D. | Vice President | 345 CLYDE MORRIS BLVD., STE. 330, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| ZOBIAN JOSEPH MM.D. | Secretary | 345 CLYDE MORRIS BLVD., STE. 330, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| KENNEDY MARK EM.D. | Treasurer | 345 CLYDE MORRIS BLVD., STE. 330, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| ROOT TIMOTHY DM.D. | President | 345 CLYDE MORRIS BLVD., STE. 330, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-05-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-04 | MYER, RORY A, M.D. | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-29 | 345 CLYDE MORRIS BLVD, SUITE 330, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-12 | 345 CLYDE MORRIS BLVD, SUITE 330, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-12 | 345 CLYDE MORRIS BLVD., SUITE 330, ORMOND BEACH, FL 32174 | No data |
| MERGER | 2005-12-23 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000054435 |
| NAME CHANGE AMENDMENT | 1999-02-08 | TOMOKA EYE ASSOCIATES, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-29 |
| Amendment | 2023-05-30 |
| AMENDED ANNUAL REPORT | 2023-05-04 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-04 |
| AMENDED ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
