| Entity Name: | PALM HARBOR SEDATION AND FAMILY DENTISTRY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P12000036898 |
| FEI/EIN Number | 45-5090081 |
| Address: | 30685 US 19 North, Palm Harbor, FL, 34684, US |
| Mail Address: | 30685 US 19 North, Palm Harbor, FL, 34684, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134553621 | 2013-09-03 | 2013-09-03 | 30685 US 19 N, PALM HARBOR, FL, 346844410, US | 30685 US 19 N, PALM HARBOR, FL, 346844410, US | |||||||||||||||||||||||||||
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| Phone | +1 727-249-0460 |
| Fax | 7272166627 |
Authorized person
| Name | DR. DANG V HA |
| Role | DENTIST |
| Phone | 7272490460 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17217 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17953 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HA DANG V | Agent | 30685 US 19 North, Palm Harbor, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| HA DANG V | President | 30685 US 19 North, Palm Harbor, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-26 | 30685 US 19 North, Palm Harbor, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-26 | 30685 US 19 North, Palm Harbor, FL 34684 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-26 | 30685 US 19 North, Palm Harbor, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-04-26 |
| Domestic Profit | 2012-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
