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DRS. PERRY, PERRY & ASSOCIATES, ORLANDO, P.A.

Company Details

Entity Name: DRS. PERRY, PERRY & ASSOCIATES, ORLANDO, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Sep 1990 (34 years ago)
Document Number: S03311
FEI/EIN Number 593029734
Address: 400 N Bumby Ave, ORLANDO, FL, 32803, US
Mail Address: 9024 GREAT HERON CIR., ORLANDO, FL, 32836
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962540799 2007-02-02 2009-05-15 PO BOX 140932, ORLANDO, FL, 328140932, US 2752 E COLONIAL DR, ORLANDO, FL, 328035025, US

Contacts

Phone +1 407-893-6222
Fax 4078964200

Authorized person

Name DR. MARK E. PERRY
Role PRESIDENT
Phone 4078936222

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number 2097
State FL
Is Primary Yes
Taxonomy Code 152W00000X - Optometrist
License Number 2275
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 078759100
State FL

Agent

Name Role Address
PERRY MARK Agent 9024 GREAT HERON CIR, ORLANDO, FL, 32836

Director

Name Role Address
Perry Mark E Director 9024 GREAT HERON CIR., ORLANDO, FL, 32836
Perry Karen F Director 9024 GREAT HERON CIR., ORLANDO, FL, 32836

President

Name Role Address
Perry Mark E President 9024 GREAT HERON CIR., ORLANDO, FL, 32836

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000014136 VISION HEALTH INSTITUTE ACTIVE 2013-02-10 2028-12-31 No data 9024 GREAT HERON CIR, ORLANDO, FL, 32836

Date of last update: 01 Jan 2025

Sources: Florida Department of State