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GULFSHORE ORAL SURGERY, PA

Company Details

Entity Name: GULFSHORE ORAL SURGERY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Mar 2010 (15 years ago)
Document Number: P10000018468
FEI/EIN Number 272039582
Address: 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL, 34109, US
Mail Address: 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL, 34109, US
ZIP code: 34109
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013354174 2013-05-30 2013-10-25 1585 PINE RIDGE RD STE 2, NAPLES, FL, 341092105, US 1585 PINE RIDGE RD STE 2, NAPLES, FL, 341092105, US

Contacts

Phone +1 239-262-3300
Fax 2392623333

Authorized person

Name DR. STEVEN JOHN FONTANA
Role PRESIDENT
Phone 2392623300

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes

Agent

Name Role Address
FONTANA STEVEN J Agent 1585 PINE RIDGE ROAD, NAPLES, FL, 34109

President

Name Role Address
FONTANA STEVEN J President 1585 PINE RIDGE ROAD, NAPLES, FL, 34109

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000024158 GULFSHORE ORAL SURGERY DENTAL IMPLANT CENTER ACTIVE 2010-03-15 2030-12-31 No data 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL, 34109

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-04 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL 34109 No data
CHANGE OF MAILING ADDRESS 2016-01-04 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL 34109 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-04 1585 PINE RIDGE ROAD, SUITE 2, NAPLES, FL 34109 No data

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-03
ANNUAL REPORT 2020-01-03
ANNUAL REPORT 2019-01-02
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-04

Date of last update: 03 Feb 2025

Sources: Florida Department of State