| Entity Name: | PATRICIA DEVILLIERS, D.D.S., P.C. CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2013 (12 years ago) |
| Branch of: | PATRICIA DEVILLIERS, D.D.S., P.C. CO., COLORADO (Company Number 19951052640) |
| Document Number: | F13000003018 |
| FEI/EIN Number | 841304199 |
| Address: | 5003 BAY STATE ROAD, PALMETTO, FL, 34221, US |
| Mail Address: | 5003 BAY STATE ROAD, PALMETTO, FL, 34221, US |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093187718 | 2015-10-21 | 2023-05-12 | PO BOX 8887, GREENVILLE, TX, 754048887, US | 5003 BAY STATE RD, PALMETTO, FL, 342218757, US | |||||||||||||||||||||
|
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| Phone | +1 903-515-0261 |
| Fax | 8663992811 |
| Phone | +1 941-720-9747 |
Authorized person
| Name | DR. PATRICIA DEVILLIERS |
| Role | PRESIDENT |
| Phone | 2057905866 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800027327 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEVILLIERS PATRICIA | Agent | 5003 BAY STATE ROAD, PALMETTO, FL, 34221 |
| Name | Role | Address |
|---|---|---|
| DEVILLIERS PATRICIA | President | 5003 BAY STATE ROAD, PALMETTO, FL, 34221 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000114275 | DYNAMICPATHOLOGY | ACTIVE | 2015-11-09 | 2025-12-31 | No data | 5003 BAY STATE ROAD, PALMETTO, FL, 34221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-29 | 5003 BAY STATE ROAD, PALMETTO, FL 34221 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-29 | 5003 BAY STATE ROAD, PALMETTO, FL 34221 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-04 | 5003 BAY STATE ROAD, PALMETTO, FL 34221 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
