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GULFSHORE DENTAL ASSOCIATES LLC

Company Details

Entity Name: GULFSHORE DENTAL ASSOCIATES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Feb 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Dec 2021 (3 years ago)
Document Number: L10000014276
FEI/EIN Number 271852433
Address: 11841 PALM BEACH BLVD, #115, FORT MYERS, FL, 33905
Mail Address: 11841 PALM BEACH BLVD, #115, FORT MYERS, FL, 33905
ZIP code: 33905
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952633265 2010-02-11 2010-02-11 813 E HICKPOCHEE AVE, SUITE 500, LABELLE, FL, 339355033, US 813 E HICKPOCHEE AVE, SUITE 500, LABELLE, FL, 339355033, US

Contacts

Phone +1 863-675-3270
Fax 8636753868

Authorized person

Name DR. NIRAV AMRIT PATEL
Role OWNER/DOCTOR
Phone 8636753270

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 15723
State FL
Is Primary Yes

Agent

Name Role Address
PATEL NIRAV Agent 11841 PALM BEACH BLVD, FORT MYERS, FL, 33905

Managing Member

Name Role Address
PATEL NIRAV Managing Member 11841 PALM BEACH BLVD, FORT MYERS, FL, 33905

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-12-08 PATEL, NIRAV No data
REINSTATEMENT 2021-12-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-03-05 11841 PALM BEACH BLVD, #115, FORT MYERS, FL 33905 No data
CHANGE OF MAILING ADDRESS 2012-03-05 11841 PALM BEACH BLVD, #115, FORT MYERS, FL 33905 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-29 11841 PALM BEACH BLVD, SUITE 115, FORT MYERS, FL 33905 No data
LC AMENDMENT 2011-01-18 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-01-17
REINSTATEMENT 2021-12-08
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-12

Date of last update: 02 Jan 2025

Sources: Florida Department of State