| Entity Name: | ESI DENTISTRY PALM HARBOR, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Aug 2022 (3 years ago) |
| Document Number: | L22000344776 |
| FEI/EIN Number | 88-3632760 |
| Address: | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| Mail Address: | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316673833 | 2022-07-27 | 2023-04-30 | 31980 US HIGHWAY 19 N, PALM HARBOR, FL, 346843730, US | 31980 US HIGHWAY 19 N, PALM HARBOR, FL, 346843730, US | |||||||||||||||||
|
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| Phone | +1 727-842-6052 |
Authorized person
| Name | DR. PARADIS ESFANDIARI |
| Role | MANAGER |
| Phone | 7277721120 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| RYAN CONSULTING GROUP, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ESFANDIARI PARADIS | Authorized Member | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| Fabian Michael J | Authorized Member | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| Srour Maurice T | Authorized Member | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000023984 | ESI DENTISTRY II | ACTIVE | 2023-02-21 | 2028-12-31 | No data | 31980 U.S. HWY 19, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-05-24 | Ryan Consulting Group, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-24 | 8875 Hidden River Pkwy, Suite 300, Tampa, FL 33637 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| AMENDED ANNUAL REPORT | 2023-05-24 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
