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KEVIN HALL, DDS, OMFS, PLLC

Company Details

Entity Name: KEVIN HALL, DDS, OMFS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Apr 2018 (7 years ago)
Document Number: L18000090936
FEI/EIN Number 82-5443818
Address: 8580 El Mirasol Ct., Estero, FL 33967
Mail Address: 8580 El Mirasol Ct., Estero, FL 33967
ZIP code: 33967
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174099196 2018-10-17 2018-10-17 PO BOX 269070, OKLAHOMA CITY, OK, 731269070, US 2776 CLEVELAND AVE, FORT MYERS, FL, 339015864, US

Contacts

Phone +1 877-667-7669
Fax 4058480033

Authorized person

Name KEVIN P HALL
Role OWNER
Phone 8776677669

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes

Agent

Name Role Address
HALL, KEVIN Agent 8580 El Mirasol Ct., Estero, FL 33967

Manager

Name Role Address
Hall, Kevin Patrick Manager 8580 El Mirasol Court, Fort Myers, FL 33967
Berra, Lisa Michelle Manager 8580 El Mirasol Ct., Estero, FL 33967

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-24 8580 El Mirasol Ct., Estero, FL 33967 No data
CHANGE OF MAILING ADDRESS 2020-04-24 8580 El Mirasol Ct., Estero, FL 33967 No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-24 8580 El Mirasol Ct., Estero, FL 33967 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-04-26
Florida Limited Liability 2018-04-10

Date of last update: 18 Jan 2025

Sources: Florida Department of State