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YOUR ENDODONTIC SPECIALIST, PA

Company Details

Entity Name: YOUR ENDODONTIC SPECIALIST, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Feb 2011 (14 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Apr 2016 (9 years ago)
Document Number: P11000011956
FEI/EIN Number 274766199
Address: 24820 Burnt Pine Drive, Bonita Springs, FL, 34134, US
Mail Address: 24820 Burnt Pine Drive, Bonita Springs, FL, 34134, US
ZIP code: 34134
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134573207 2016-04-14 2016-04-14 24820 BURNT PINE DR, SUITE 3, BONITA SPRINGS, FL, 341342028, US 24820 BURNT PINE DR, SUITE 3, BONITA SPRINGS, FL, 341342028, US

Contacts

Phone +1 239-676-1079

Authorized person

Name SCOTT T BAUR
Role OWNER
Phone 8133136591

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN 17788
State FL
Is Primary Yes

Agent

Name Role Address
BAUR SCOTT T Agent 198 2nd Street, Bonita Springs, FL, 34134

President

Name Role Address
BAUR SCOTT T President 198 2nd Street, Bonita Springs, FL, 34134

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-03-06 198 2nd Street, Bonita Springs, FL 34134 No data
NAME CHANGE AMENDMENT 2016-04-15 YOUR ENDODONTIC SPECIALIST, PA No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-15 24820 Burnt Pine Drive, Suite 3, Bonita Springs, FL 34134 No data
CHANGE OF MAILING ADDRESS 2016-04-15 24820 Burnt Pine Drive, Suite 3, Bonita Springs, FL 34134 No data

Documents

Name Date
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-04-15
Name Change 2016-04-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State