| Entity Name: | HARBORSIDE EYE SPECIALISTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Feb 1999 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 24 Apr 2023 (2 years ago) |
| Document Number: | P99000014234 |
| FEI/EIN Number | 650893639 |
| Address: | 3430 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL, 33952 |
| Mail Address: | PO BOX 495658, PORT CHARLOTTE, FL, 33949 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962699538 | 2007-09-27 | 2023-09-08 | PO BOX 495658, PORT CHARLOTTE, FL, 339495658, US | 3430 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL, 339528127, US | |||||||||||||||||||
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| Phone | +1 941-624-4500 |
| Fax | 9416246066 |
Authorized person
| Name | DR. DANIEL SOLANO |
| Role | PRESIDENT |
| Phone | 9416244500 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | CK4298 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARBORSIDE EYE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 650893639 | 2024-06-24 | HARBORSIDE EYE SPECIALISTS, P.A. | 14 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Solano Daniel D.O. | Agent | 3430 TAMIAMI TR, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| Solano Daniel D.O. | Director | 3430 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000118087 | HARBORSIDE EYE SPECIALISTS | ACTIVE | 2022-09-19 | 2027-12-31 | No data | 3430 TAMIAMI TRAIL, STE A, PORT CHARLOTTE, FL, 33952 |
| G19000050270 | ZUSMAN EYE CARE CENTER | EXPIRED | 2019-04-24 | 2024-12-31 | No data | PO.BOX 495658, PORT CHARLOTTE, FL, 33949 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-04-24 | HARBORSIDE EYE SPECIALISTS, P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-27 | Solano, Daniel, D.O. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-12 | 3430 TAMIAMI TR, SUITE A, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-25 | 3430 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-09 | 3430 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL 33952 | No data |
| AMENDMENT | 2003-08-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-24 |
| Name Change | 2023-04-24 |
| AMENDED ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
