Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hernando
    4. ›
  4. 34607
    5. ›
  5. POLLY T. MICHAELS, DMD, PA

POLLY T. MICHAELS, DMD, PA

Company Details

Entity Name: POLLY T. MICHAELS, DMD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Aug 2010 (15 years ago)
Document Number: P10000065303
FEI/EIN Number 273216166
Address: 4042 GULF COAST DR, HERNANDO BEACH, FL, 34607, US
Mail Address: 4042 GULF COAST DR, HERNANDO BEACH, FL, 34607, US
ZIP code: 34607
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881981199 2011-07-07 2011-07-07 7135 MARINER BLVD, SPRING HILL, FL, 346091048, US 7135 MARINER BLVD, SPRING HILL, FL, 346091048, US

Contacts
Phone +1 352-597-1100
Fax 3525964162

Authorized person
Name DR. POLLY T MICHAELS
Role PRESIDENT
Phone 3525971100

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN18231
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2023 273216166 2024-09-16 POLLY T. MICHAELS, DMD, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2022 273216166 2023-09-19 POLLY T. MICHAELS, DMD, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2021 273216166 2022-10-13 POLLY T. MICHAELS, DMD, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2020 273216166 2021-07-03 POLLY T. MICHAELS, DMD, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2021-07-03
Name of individual signing POLLY MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2019 273216166 2020-05-08 POLLY T. MICHAELS, DMD, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2018 273216166 2019-07-24 POLLY T. MICHAELS, DMD, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2017 273216166 2018-06-26 POLLY T. MICHAELS, DMD, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVENUE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2016 273216166 2017-06-25 POLLY T. MICHAELS, DMD, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2017-06-25
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2015 273216166 2016-06-06 POLLY T. MICHAELS, DMD, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 10280 YALE AVE, WEEKI WACHEE, FL, 34613

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature
POLLY T MICHAELS DMD PA 401(K) PROFIT SHARING PLAN AND TRUST 2014 273216166 2015-06-08 POLLY T. MICHAELS, DMD, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3525971100
Plan sponsor’s address 7135 MARINER BOULEVARD, SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing ROBERT MICHAELS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAELS POLLY T Agent 10280 Yale Ave, Weeki Wachee, FL, 34613

President

Name Role Address
MICHAELS POLLY T President 10280 Yale Ave, Weeki Wachee, FL, 34613

Secretary

Name Role Address
MICHAELS POLLY T Secretary 10280 Yale Ave, Weeki Wachee, FL, 34613

Treasurer

Name Role Address
MICHAELS POLLY T Treasurer 10280 Yale Ave, Weeki Wachee, FL, 34613

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000044005 MICHAELS CENTER FOR DENTAL EXCELLENCE ACTIVE 2015-05-01 2025-12-31 No data 10280 YALE AVE, WEEKI WACHEE, FL, 34613
G10000085833 MICHAELS DENTAL ACTIVE 2010-09-18 2025-12-31 No data 10280 YALE AVE, WEEKI WACHEE, FL, 34613

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 4042 GULF COAST DR, HERNANDO BEACH, FL 34607 No data
CHANGE OF MAILING ADDRESS 2023-01-23 4042 GULF COAST DR, HERNANDO BEACH, FL 34607 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-13 10280 Yale Ave, Weeki Wachee, FL 34613 No data

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-13

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated