| Entity Name: | ZRALLACK DENTAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Apr 2003 (22 years ago) |
| Document Number: | P03000042507 |
| FEI/EIN Number | 593771037 |
| Address: | 2670 GARDEN STREET, TITUSVILLE, FL, 32796 |
| Mail Address: | 2670 GARDEN STREET, TITUSVILLE, FL, 32796 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063508141 | 2006-10-05 | 2020-08-22 | 2670 GARDEN ST, TITUSVILLE, FL, 327963176, US | 2670 GARDEN ST, TITUSVILLE, FL, 327963176, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-267-7970 |
| Fax | 3212649289 |
Authorized person
| Name | MICHELE ZRALLACK |
| Role | DENTIST |
| Phone | 3212677970 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 14970 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Zrallack Michele Dr. | Agent | 2670 GARDEN STREET, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| ZRALLACK MICHELE L | President | 2670 GARDEN STREET, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| ZRALLACK ROBERT J | Vice President | 2670 GARDEN ST, TITUSVILLE, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-09 | Zrallack, Michele, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
