| Entity Name: | DAVID S. PETRIK, DDS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Oct 2004 (20 years ago) |
| Date of dissolution: | 16 Sep 2005 (19 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Sep 2005 (19 years ago) |
| Document Number: | P04000137272 |
| Address: | 1760 N FORT HARRISON, CLEARWATER, FL, 33755, US |
| Mail Address: | 1760 N FORT HARRISON, CLEARWATER, FL, 33755, US |
| ZIP code: | 33755 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508939927 | 2006-11-15 | 2020-08-22 | 1760 N FORT HARRISON AVE, CLEARWATER, FL, 337551706, US | 1760 N FORT HARRISON AVE, CLEARWATER, FL, 337551706, US | |||||||||||||||||||
|
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| Phone | +1 727-442-4646 |
| Fax | 7274423542 |
Authorized person
| Name | DAVID S PETRIK |
| Role | PRESIDENT OF CORPORATION |
| Phone | 7274424646 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN 13150 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETRIK DAVID S | Agent | 302 CEDAR STREET, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| PETRIK DAVID S | President | 302 CEDAR STREET, CLEARWATER, FL, 33755 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2004-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
