| Entity Name: | BASHAR AL KHOURI PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jul 2006 (19 years ago) |
| Document Number: | P06000093473 |
| FEI/EIN Number | 205161488 |
| Address: | 121 WEST WINDHORST ROAD, BRANDON, FL, 33510 |
| Mail Address: | 121 WEST WINDHORST ROAD, BRANDON, FL, 33510 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245580018 | 2012-09-19 | 2012-09-23 | 121 W WINDHORST RD, BRANDON, FL, 335102434, US | 121 W WINDHORST RD, BRANDON, FL, 335102434, US | |||||||||||||||||||
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| Phone | +1 813-681-8151 |
| Fax | 8136437977 |
Authorized person
| Name | BASHAR AL-KHOURI |
| Role | PRESIDENT/DENTIST |
| Phone | 8136818151 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN 13257 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AL KHOURI BASHAR | Agent | 121 WEST WINDHORST ROAD, BRANDON, FL, 33510 |
| Name | Role | Address |
|---|---|---|
| AL KHOURI BASHAR | President | 121 W WINDHORST ROAD, BRANDON, FL, 33510 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
