| Entity Name: | SUNSHINE ORTHODONTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jul 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 07 Aug 2017 (8 years ago) |
| Document Number: | L17000160324 |
| FEI/EIN Number | 82-2294938 |
| Address: | 17 Enrede Lane, Saint Augustine, FL, 32095, US |
| Mail Address: | 17 Enrede Lane, Saint Augustine, FL, 32095, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376621672 | 2006-11-02 | 2020-08-22 | 825 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336033337, US | 825 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336033337, US | |||||||||||||||||||
|
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| Phone | +1 813-237-1982 |
| Fax | 8132320744 |
Authorized person
| Name | DR. MICHAEL J. DEVITO |
| Role | ORTHODONTIST |
| Phone | 8132371982 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN10472 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HADGIS CRAIG Dr. | Agent | 17 Enrede Lane, Saint Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HADGIS CRAIG Dr. | Manager | 17 Enrede Lane, Saint Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HADGIS ANNE | Authorized Person | 17 Enrede Lane, Saint Augustine, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-23 | 17 Enrede Lane, Saint Augustine, FL 32095 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-23 | 17 Enrede Lane, Saint Augustine, FL 32095 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-23 | 17 Enrede Lane, Saint Augustine, FL 32095 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-26 | HADGIS, CRAIG, Dr. | No data |
| LC STMNT OF RA/RO CHG | 2017-08-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-02-26 |
| CORLCRACHG | 2017-08-07 |
| Florida Limited Liability | 2017-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
