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PHILLIPS & PHILLIPS OD PA

Company Details

Entity Name: PHILLIPS & PHILLIPS OD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Jun 1999 (26 years ago)
Document Number: P99000051483
FEI/EIN Number 593581391
Address: 3100 SW COLLEGE RD., Next to JC Penney Optical, OCALA, FL, 34474, US
Mail Address: 1620 SE 29TH TERRACE, OCALA, FL, 34471
ZIP code: 34474
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669792453 2010-06-03 2010-06-03 1620 SE 29TH TER, OCALA, FL, 344714715, US 3100 SW COLLEGE RD, INSIDE SEARS OPTICAL, OCALA, FL, 344747446, US

Contacts

Phone +1 352-291-2020
Fax 3528739110

Authorized person

Name DR. SUSAN BREKRUS PHILLIPS
Role VICE PRESIDENT
Phone 3522912020

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
PHILLIPS BARRY Agent 1620 SE 29TH TERRACE, OCALA, FL, 34471

President

Name Role Address
PHILLIPS BARRY D President 1620 SE 29 TH TERR, OCALA, FL, 34471

Treasurer

Name Role Address
PHILLIPS BARRY D Treasurer 1620 SE 29 TH TERR, OCALA, FL, 34471

Director

Name Role Address
PHILLIPS BARRY D Director 1620 SE 29 TH TERR, OCALA, FL, 34471
PHILLIPS SUSAN B Director 1620 SE 29TH TERRACE, OCALA, FL, 34471

Secretary

Name Role Address
PHILLIPS SUSAN B Secretary 1620 SE 29TH TERRACE, OCALA, FL, 34471

Vice President

Name Role Address
PHILLIPS SUSAN B Vice President 1620 SE 29TH TERRACE, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
AMENDMENT AND NAME CHANGE 2009-12-08 PHILLIPS & PHILLIPS OD PA No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State