| Entity Name: | MANTIONE & MANTIONE, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jun 2004 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 12 May 2005 (20 years ago) |
| Document Number: | P04000090410 |
| FEI/EIN Number | 201240541 |
| Address: | 6967 SUNSET DRIVE SOUTH, SOUTH PASADENA, FL, 33707, US |
| Mail Address: | 6967 SUNSET DRIVE SOUTH, SOUTH PASADENA, FL, 33707, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144343948 | 2007-04-08 | 2020-08-22 | 6967 SUNSET DR S, SOUTH PASADENA, FL, 337072817, US | 6967 SUNSET DR S, SOUTH PASADENA, FL, 337072817, US | |||||||||||||||||||
|
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| Phone | +1 727-381-6929 |
| Fax | 7273474009 |
Authorized person
| Name | DR. JOSEPH CHARLES MANTIONE |
| Role | DENTIST-OWNER |
| Phone | 7273816929 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN15699 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANTIONE JOSEPH C | Agent | 16035 REDINGTON DRIVE, REDINGTON BEACH, FL, 33708 |
| Name | Role | Address |
|---|---|---|
| MANTIONE JOSEPH C | President | 16035 REDINGTON DRIVE, REDINGTON BEACH, FL, 33708 |
| Name | Role | Address |
|---|---|---|
| MANTIONE JENNIFER S | Vice President | 16035 REDINGTON DRIVE, REDINGTON BEACH, FL, 33708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2005-05-12 | MANTIONE & MANTIONE, D.M.D., P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-21 | 6967 SUNSET DRIVE SOUTH, SOUTH PASADENA, FL 33707 | No data |
| CHANGE OF MAILING ADDRESS | 2005-02-21 | 6967 SUNSET DRIVE SOUTH, SOUTH PASADENA, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
