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JOHN E. RUSSO, D.M.D., P.A.

Company Details

Entity Name: JOHN E. RUSSO, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Mar 1980 (45 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 12 Jan 2004 (21 years ago)
Document Number: 658308
FEI/EIN Number 59-1974186
Address: 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803
Mail Address: 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508680497 2024-11-08 2024-11-08 430 N MILLS AVE STE 3, ORLANDO, FL, 328035746, US 430 N MILLS AVE STE 3, ORLANDO, FL, 328035746, US

Contacts

Phone +1 407-843-2112

Authorized person

Name JENNY GARCIA ROCHA
Role SR TEAM LEAD
Phone 9728693789

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
RUSSO, JOHN E, Dr. Agent 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803

President

Name Role Address
RUSSO, JOHN E., Dr President 430 N. MILLS AVE., SUITE 3 ORLANDO, FL 32803

Director

Name Role Address
RUSSO, JOHN E., Dr Director 430 N. MILLS AVE., SUITE 3 ORLANDO, FL 32803

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-04-20 RUSSO, JOHN E, Dr. No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-16 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803 No data
CHANGE OF MAILING ADDRESS 2008-04-16 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803 No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-16 430 N. MILLS AVE., SUITE 3, ORLANDO, FL 32803 No data
NAME CHANGE AMENDMENT 2004-01-12 JOHN E. RUSSO, D.M.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-03-26
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-01-12

Date of last update: 05 Feb 2025

Sources: Florida Department of State