| Entity Name: | SHAWN T. ENGEBRETSEN, DMD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Nov 2000 (24 years ago) |
| Document Number: | P00000110365 |
| FEI/EIN Number | 651070236 |
| Address: | 1825 N.W. BRIGHT RIVER POINT, STUART, FL, 34994 |
| Mail Address: | 1825 N.W. BRIGHT RIVER POINT, STUART, FL, 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225200173 | 2008-04-01 | 2010-04-08 | 1825 NW BRIGHT RIVER PT, STUART, FL, 349949407, US | 841 E OCEAN BLVD, STUART, FL, 349942427, US | |||||||||||||||||||
|
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| Phone | +1 772-692-1194 |
| Phone | +1 772-223-0600 |
Authorized person
| Name | DR. SHAWN T ENGEBRETSEN |
| Role | OWNER |
| Phone | 7722230600 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN0009427 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ENGEBRETSEN SHAWN T | Agent | 1825 NW BRIGHT RIVER POINT, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| ENGEBRETSEN SHAWN | President | 1825 NW BRIGHT RIVER POINT, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2001-05-16 | ENGEBRETSEN, SHAWN T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-05-16 | 1825 NW BRIGHT RIVER POINT, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
