| Entity Name: | AFFORDABLE DENTURES-WEEKI WACHEE II, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Oct 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Mar 2020 (5 years ago) |
| Document Number: | P10000085113 |
| FEI/EIN Number | 273684503 |
| Address: | 120 Medical Blvd, Spring Hill, FL, 34609, US |
| Mail Address: | 16520 Ballyshannon Dr, Tampa, FL, 33624, US |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902109309 | 2010-12-07 | 2012-11-30 | 6278 COMMERCIAL WAY, WEEKI WACHEE, FL, 346136329, US | 6278 COMMERCIAL WAY, WEEKI WACHEE, FL, 346136329, US | |||||||||||||||||||||
|
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| Phone | +1 352-597-6495 |
| Fax | 3525976496 |
Authorized person
| Name | JAMES P MUIR |
| Role | OWNER |
| Phone | 3525976495 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003520500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUIR JAMES DR | Agent | 16520 Ballyshannon Dr, Tampa, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| MUIR JAMES P | President | 6278 COMMERCIAL WAY, WEEKI WACHEE, FL, 34606 |
| Name | Role | Address |
|---|---|---|
| MUIR JAMES P | Director | 6278 COMMERCIAL WAY, WEEKI WACHEE, FL, 34606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000167631 | DENTAL IMPLANTS OF SPRING HILL | ACTIVE | 2021-12-18 | 2026-12-31 | No data | 120 MEDICAL BLVD, SUITE 109, SPRING HILL, FL, 34609 |
| G20000071489 | AFFORDABLE DENTURES & IMPLANTS - WEEKI WACHEE | ACTIVE | 2020-06-24 | 2025-12-31 | No data | 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-25 | 120 Medical Blvd, Suite 109, Spring Hill, FL 34609 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-21 | 120 Medical Blvd, Suite 109, Spring Hill, FL 34609 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-21 | MUIR, JAMES, DR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 16520 Ballyshannon Dr, Tampa, FL 33624 | No data |
| REINSTATEMENT | 2020-03-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| REINSTATEMENT | 2020-03-30 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
