| Entity Name: | DR. R. KEITH AMIEL - OPTOMETRIST, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DR. R. KEITH AMIEL - OPTOMETRIST, 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: | 09 Dec 1998 (26 years ago) |
| Date of dissolution: | 25 Sep 2009 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (16 years ago) |
| Document Number: | P98000103018 |
| FEI/EIN Number |
593546789
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 36 NE EGLIN PKWY, FORT WALTON BEACH, FL, 32548 |
| Mail Address: | 36 NE EGLIN PKWY, FORT WALTON BEACH, FL, 32548 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043526205 | 2010-08-26 | 2010-10-11 | 36 EGLIN PKWY NE, FORT WALTON BEACH, FL, 325484915, US | 36 EGLIN PKWY NE, FORT WALTON BEACH, FL, 325484915, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-243-3111 |
| Fax | 8502004373 |
Authorized person
| Name | DR. R. KEITH AMIEL |
| Role | OWNER-PRESIDENT |
| Phone | 8502433111 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC874 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 19461 |
| State | FL |
| Issuer | MEDICAID |
| Number | 078299300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMIEL R. KEITH D | Director | 36 NE EGLIN PKWY, FORT WALTON BEACH, FL, 32548 |
| AMIEL R. KEITH D | Agent | 36 NE EGLIN PKWY, FORT WALTON BEACH, FL, 32548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-02-29 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-10 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-04-29 |
| ANNUAL REPORT | 2003-05-05 |
| ANNUAL REPORT | 2002-04-03 |
| ANNUAL REPORT | 2001-04-11 |
| ANNUAL REPORT | 2000-04-03 |
| ANNUAL REPORT | 1999-04-06 |
Date of last update: 03 May 2025
Sources: Florida Department of State
