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PERIODOC, LLC

Company Details

Entity Name: PERIODOC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Sep 2013 (11 years ago)
Document Number: L13000136150
FEI/EIN Number 46-3778054
Address: 7320 FOREST OAKS BLVD., SPRING HILL, FL, 34606
Mail Address: 7320 FOREST OAKS BLVD., SPRING HILL, FL, 34606
ZIP code: 34606
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659794956 2014-01-23 2014-01-23 7320 FOREST OAKS BLVD, SPRING HILL, FL, 346062401, US 7320 FOREST OAKS BLVD, SPRING HILL, FL, 346062401, US

Contacts

Phone +1 352-596-1771
Fax 3525966067

Authorized person

Name JEFFREY ALAN HAMEROFF
Role OWNER/PRESIDENT
Phone 3525961771

Taxonomy

Taxonomy Code 1223P0300X - Periodontist
License Number 10916
State FL
Is Primary Yes

Agent

Name Role Address
HAMEROFF JEFFREY A Agent 7320 FOREST OAKS, SPRING HILL, FL, 34606

Owne

Name Role Address
HAMEROFF JEFFREY A Owne 7320 FOREST OAKS BLVD., SPRING HILL, FL, 34606

Busi

Name Role Address
Heckman Kimetha R Busi 7320 FOREST OAKS BLVD., SPRING HILL, FL, 34606

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-03-15
ANNUAL REPORT 2015-03-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State