| Entity Name: | ROCKLEDGE DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Dec 1968 (56 years ago) |
| Document Number: | 600696 |
| FEI/EIN Number | 591228697 |
| Mail Address: | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240, US |
| Address: | 1950 ROCKLEDGE BLVD, SUITE 207, ROCKLEDGE, FL, 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952433377 | 2007-03-12 | 2020-08-22 | 1264 US HIGHWAY 1, ROCKLEDGE, FL, 329552746, US | 1264 US HIGHWAY 1, ROCKLEDGE, FL, 329552746, US | |||||||||||||
|
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| Phone | +1 321-632-1820 |
Authorized person
| Name | MIKE COLE |
| Role | INSURNACE DIRECTOR |
| Phone | 7277261611 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO DONALD | Director | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2004-02-18 | ROCKLEDGE DENTAL, P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
