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THE DENTAL CENTER OF OCALA, P.A.

Company Details

Entity Name: THE DENTAL CENTER OF OCALA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Aug 2000 (24 years ago)
Document Number: P00000081698
FEI/EIN Number 651035483
Mail Address: 6240 LAKE OSPREY DR., SARASOTA, FL, 34240
Address: 1500 SE 17TH ST, BLDG 400, OCALA, FL, 34471
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811021793 2007-03-15 2020-08-22 1500 SE 17TH ST STE 400, OCALA, FL, 344714654, US 1500 SE 17TH ST STE 400, OCALA, FL, 344714654, US

Contacts

Phone +1 352-629-4666

Authorized person

Name MIKE COLE
Role INSURANCE DIRECTOR
Phone 7277261611

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
GALLO DONALD Director 6240 LAKE OSPREY DR., SARASOTA, FL, 34240

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2001-05-04 THE DENTAL CENTER OF OCALA, P.A. No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State