| Entity Name: | ALAN D. SHOOPAK, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Feb 1987 (38 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 1994 (30 years ago) |
| Document Number: | J57136 |
| FEI/EIN Number | 59-2765648 |
| Address: | 6311 4th Street North, Saint Petersburg, FL 33702 |
| Mail Address: | 6311 4TH STREET NORTH, ST PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760997175 | 2017-12-07 | 2017-12-07 | 6311 4TH ST N, ST PETERSBURG, FL, 337027511, US | 1626 RINGLING BLVD STE 500, SARASOTA, FL, 342366830, US | |||||||||||||||||
|
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| Phone | +1 727-522-5599 |
Authorized person
| Name | ALAN DAVID SHOOPAK |
| Role | PRESIDENT |
| Phone | 7275225599 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN9319 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHOOPAK, ALAN D. | Agent | 6311 4th Street North, Saint Petersburg, FL 33702 |
| Name | Role | Address |
|---|---|---|
| Shoopak, Alan D., Dr. | Owner | 6311 4th Street North, Saint Petersburg, FL 33702 |
| Buchman, Dennis, Dr. | Owner | 6311 4th Street North, Saint Petersburg, FL 33702 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000050417 | ORTHODONTIC SPECIALISTS OF FLORIDA | ACTIVE | 2016-05-19 | 2026-12-31 | No data | 6311 4TH STREET NORTH, SAINT PETERSBURG, FL, 33702 |
| G10000013202 | BRACES-AND-FACES | EXPIRED | 2010-02-09 | 2015-12-31 | No data | 6311 4TH STREET NORTH, SAINT PETERSBURG, FL, 33702 |
| G09000151366 | ORTHODONTIC SPECIALISTS OF FLORIDA | EXPIRED | 2009-09-01 | 2014-12-31 | No data | 3001 EXECUTIVE DRIVE SUITE 335, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-25 | 6311 4th Street North, Saint Petersburg, FL 33702 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-25 | 6311 4th Street North, Saint Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2015-09-28 | 6311 4th Street North, Saint Petersburg, FL 33702 | No data |
| REINSTATEMENT | 1994-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
