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GROOMES DENTAL, P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
JOHNSON LEONARD H Agent 401 E. Jackson Street, Tampa, FL, 33602

DDS

Name Role Address
GROOMES REBECCA FDr. DDS 12503 Curley Street, SAN ANTONIO, FL, 33576

Events

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

Documents

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