Entity Name: | GROOMES DENTAL, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 02 Dec 2003 (21 years ago) |
Last Event: | AMENDMENT AND NAME CHANGE |
Event Date Filed: | 16 Jan 2024 (a year ago) |
Document Number: | P03000143810 |
FEI/EIN Number | 200525818 |
Address: | 37149 FLORIDA AVE, DADE CITY, FL, 33525, US |
Mail Address: | 37149 FLORIDA AVE, DADE CITY, FL, 33525, US |
ZIP code: | 33525 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013067503 | 2007-01-10 | 2024-08-06 | 37149 FLORIDA AVE, DADE CITY, FL, 335254625, US | 37149 FLORIDA AVE, DADE CITY, FL, 335254625, US | |||||||||||||||||||
|
Phone | +1 352-567-2997 |
Fax | 3525673284 |
Authorized person
Name | DR. REBECCA GROOMES |
Role | OWNER /DOCTOR |
Phone | 3525672997 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | 15978 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JOHNSON LEONARD H | Agent | 401 E. Jackson Street, Tampa, FL, 33602 |
Name | Role | Address |
---|---|---|
GROOMES REBECCA FDr. | DDS | 12503 Curley Street, SAN ANTONIO, FL, 33576 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT AND NAME CHANGE | 2024-01-16 | GROOMES DENTAL, P.A. | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-01-16 | 37149 FLORIDA AVE, DADE CITY, FL 33525 | No data |
CHANGE OF MAILING ADDRESS | 2023-01-16 | 37149 FLORIDA AVE, DADE CITY, FL 33525 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-02-18 | 401 E. Jackson Street, 2400, Tampa, FL 33602 | No data |
AMENDMENT AND NAME CHANGE | 2019-07-29 | GROOMES AND FRIEDMAN, P.A. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-22 |
Amendment and Name Change | 2024-01-16 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-02-18 |
ANNUAL REPORT | 2021-02-04 |
ANNUAL REPORT | 2020-01-24 |
Amendment and Name Change | 2019-07-29 |
ANNUAL REPORT | 2019-04-03 |
ANNUAL REPORT | 2018-01-12 |
ANNUAL REPORT | 2017-02-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State