| Entity Name: | JAY ANDREW NELSON, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Oct 2001 (23 years ago) |
| Document Number: | P01000105450 |
| FEI/EIN Number | 300014097 |
| Address: | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544, US |
| Mail Address: | 26907 Foggy Creek Road, STE 101, Wesley Chapel, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164721510 | 2011-03-24 | 2021-08-24 | 26907 FOGGY CREEK RD STE 101, WESLEY CHAPEL, FL, 335446778, US | 26907 FOGGY CREEK RD STE 101, WESLEY CHAPEL, FL, 335446778, US | |||||||||||||||||||||||
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| Phone | +1 813-733-4169 |
| Fax | 8889771984 |
Authorized person
| Name | DR. JAY A NELSON |
| Role | OWNER |
| Phone | 8137334169 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN10809 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | Agent | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | Director | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | President | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | Vice President | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | Secretary | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| NELSON JAY ADr. | Treasurer | 26907 Foggy Creek Road, Wesley Chapel, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 26907 Foggy Creek Road, STE 101, Wesley Chapel, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 26907 Foggy Creek Road, STE 101, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 26907 Foggy Creek Road, STE 101, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-09 | NELSON, JAY A, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
