| Entity Name: | ROBERT A. EVEDON, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Dec 1977 (47 years ago) |
| Document Number: | 564398 |
| FEI/EIN Number | 591784112 |
| Address: | 2136 NE 123 STREET, NORTH MIAMI, FL, 33181, US |
| Mail Address: | 2136 NE 123 STREET, NORTH MIAMI, FL, 33181, US |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730270646 | 2006-09-27 | 2020-08-22 | 800 E HALLANDALE BEACH BLVD, SUITE 10, HALLANDALE BEACH, FL, 330094477, US | 800 E HALLANDALE BEACH BLVD, SUITE 10, HALLANDALE BEACH, FL, 330094477, US | |||||||||||||||||||
|
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| Phone | +1 954-456-7000 |
| Fax | 9544567111 |
Authorized person
| Name | DR. MITCHELL B EVEDON |
| Role | PRESIDENT |
| Phone | 9544567000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN10486 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EVEDON LAURA | Agent | 2136 NE 123 STREET, NORTH MIAMI, FL, 33181 |
| Name | Role | Address |
|---|---|---|
| EVEDON MITCHELL | President | 2136 NE 123 ST, NORTH MIAMI, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
