| Entity Name: | DOUGLAS SCOTT STAFFORD, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Feb 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Jun 2012 (13 years ago) |
| Document Number: | P05000026398 |
| FEI/EIN Number | 202413546 |
| Address: | 1619 DAWNRIDGE CT, BRANDON, FL, 33510 |
| Mail Address: | 1058 E Brandon Blvd, BRANDON, FL, 33511, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528505583 | 2017-01-27 | 2017-01-27 | 1090 E BRANDON BLVD, BRANDON, FL, 335115509, US | 1090 E BRANDON BLVD, BRANDON, FL, 335115509, US | |||||||||||||||||||
|
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| Phone | +1 813-655-9900 |
| Fax | 8136559901 |
Authorized person
| Name | DR. DOUGLAS SCOTT STAFFORD |
| Role | OWNER |
| Phone | 8136559900 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN12972 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STAFFORD DOUGLAS SCOTT D | Agent | 1619 DAWNRIDGE CT, BRANDON, FL, 33510 |
| Name | Role | Address |
|---|---|---|
| STAFFORD DOUGLAS SCOTT D | Director | 1619 DAWNRIDGE CT, BRANDON, FL, 33510 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-01-19 | 1619 DAWNRIDGE CT, BRANDON, FL 33510 | No data |
| PENDING REINSTATEMENT | 2012-06-21 | No data | No data |
| REINSTATEMENT | 2012-06-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-03 | 1619 DAWNRIDGE CT, BRANDON, FL 33510 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-03 | 1619 DAWNRIDGE CT, BRANDON, FL 33510 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
