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CHRISTINA BOESCH, DMD, P.A.

Company Details

Entity Name: CHRISTINA BOESCH, DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Dec 2003 (21 years ago)
Document Number: P03000157513
FEI/EIN Number 200515724
Address: 5155 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839
Mail Address: 5155 S. JOHN YOUNG PKWY, ORLANDO, FL, 32839
ZIP code: 32839
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942833512 2020-02-21 2020-02-21 5155 S JOHN YOUNG PKWY, ORLANDO, FL, 328395021, US 5155 S JOHN YOUNG PKWY, ORLANDO, FL, 328395021, US

Contacts

Phone +1 407-928-2806

Authorized person

Name DR. CHRISTINA BOESCH
Role OWNER
Phone 4078570950

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No

Agent

Name Role Address
BOESCH CHRISTINA S Agent 5155 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839

President

Name Role Address
BOESCH CHRISTINA S President 5155 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839

Secretary

Name Role Address
BOESCH WILLIAM W Secretary 2661 Bayou Blvd, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-02-20 5155 S. JOHN YOUNG PARKWAY, ORLANDO, FL 32839 No data
CHANGE OF MAILING ADDRESS 2006-01-29 5155 S. JOHN YOUNG PARKWAY, ORLANDO, FL 32839 No data

Documents

Name Date
ANNUAL REPORT 2025-01-26
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-05-11
ANNUAL REPORT 2016-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State