| Entity Name: | WEST SHORE ENDODONTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Nov 2014 (10 years ago) |
| Document Number: | L14000174767 |
| FEI/EIN Number | 47-2311562 |
| Address: | 12228 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
| Mail Address: | 12228 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104579937 | 2022-02-01 | 2022-02-01 | 12228 CORTEZ BLVD, BROOKSVILLE, FL, 346132631, US | 12228 CORTEZ BLVD, BROOKSVILLE, FL, 346132631, US | |||||||||||||||
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| Phone | +1 352-606-2550 |
| Fax | 3526062549 |
Authorized person
| Name | DR. HANNY HAMOUI |
| Role | CONTROLLING MANAGER |
| Phone | 3526062550 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAMOUI HANNY | Agent | 12228 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| HAMOUI HANNY | Authorized Member | 12228 Cortez Blvd, Brooksville, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-11 | 12228 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-11 | 12228 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-11 | 12228 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
