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ESI DENTISTRY PALM HARBOR, PLLC - Florida Company Profile

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Company Details

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
City: Palm Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
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

National Provider Identifier

NPI Number:
1316673833
Certification Date:
2023-04-30

Authorized Person:

Name:
DR. PARADIS ESFANDIARI
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000023984 ESI DENTISTRY II ACTIVE 2023-02-21 2028-12-31 - 31980 U.S. HWY 19, PALM HARBOR, FL, 34684

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-07-15 - -
REGISTERED AGENT NAME CHANGED 2023-05-24 Ryan Consulting Group, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2023-05-24 8875 Hidden River Pkwy, Suite 300, Tampa, FL 33637 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
AMENDED ANNUAL REPORT 2023-05-24
ANNUAL REPORT 2023-04-27
Florida Limited Liability 2022-08-04

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Date of last update: 02 Aug 2025

Sources: Florida Department of State