| Entity Name: | ST. LUKE'S FAMILY DENTISTRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 May 2012 (13 years ago) |
| Document Number: | P12000045691 |
| FEI/EIN Number | 30-0738042 |
| Address: | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Mail Address: | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629328620 | 2012-09-17 | 2012-09-17 | 100 BURNSED PL, SUITE 1000, OVIEDO, FL, 327656695, US | 100 BURNSED PL, SUITE 1000, OVIEDO, FL, 327656695, US | |||||||||||||||||
|
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| Phone | +1 407-366-9090 |
Authorized person
| Name | DR. SANDRA WASIF |
| Role | OWNER |
| Phone | 4073669090 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15762 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WASIF, SANDRA | Agent | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| WASIF, SANDRA | Director | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| WASIF, SANDRA | President | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| WASIF, SANDRA | Secretary | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| WASIF, SANDRA | Treasurer | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-09-19 | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 | No data |
| CHANGE OF MAILING ADDRESS | 2012-09-19 | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-19 | 100 BURNSED PLACE - SUITE 1000, OVIEDO, FL 32765 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-15 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-03-05 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
