| Entity Name: | SMILES AT CITRUS AND 5TH, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Feb 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P07000026398 |
| FEI/EIN Number | 208546754 |
| Address: | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428, US |
| Mail Address: | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428, US |
| ZIP code: | 34428 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275844581 | 2010-07-01 | 2010-07-01 | 535 N CITRUS AVE, CRYSTAL RIVER, FL, 344284016, US | 535 N CITRUS AVE, CRYSTAL RIVER, FL, 344284016, US | |||||||||||||||||||||||||||
|
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| Phone | +1 352-795-1881 |
| Fax | 3527957081 |
Authorized person
| Name | DR. PERRY EKSTRAND |
| Role | DENTIST |
| Phone | 3527951881 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN10736 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17798 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| EKSTRAND DEBBIE | Agent | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428 |
| Name | Role | Address |
|---|---|---|
| EKSTRAND PERRY D | President | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428 |
| Name | Role | Address |
|---|---|---|
| EKSTRAND DEBBIE | Secretary | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428 |
| Name | Role | Address |
|---|---|---|
| EKSTRAND DEBBIE | Treasurer | 535 CITRUS AVENUE, CRYSTAL RIVER, FL, 34428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2010-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-10-19 | EKSTRAND, DEBBIE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-13 |
| Amendment | 2010-10-19 |
| ANNUAL REPORT | 2010-01-08 |
| ANNUAL REPORT | 2009-01-31 |
| ANNUAL REPORT | 2008-05-13 |
| Domestic Profit | 2007-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
