| Entity Name: | HOLLYWOOD SMILE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jun 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P12000051919 |
| FEI/EIN Number | 45-5494673 |
| Address: | 2702 Tampa Rd., Palm Harbor, FL, 34684, US |
| Mail Address: | 4400 Winding Willow Dr., Palm Harbor, FL, 34683, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649641077 | 2015-10-12 | 2015-10-12 | 2702 TAMPA RD, PALM HARBOR, FL, 346843311, US | 32919 US HIGHWAY 19 N, PALM HARBOR, FL, 346843121, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-781-2424 |
| Phone | +1 727-202-1054 |
| Fax | 8447279580 |
Authorized person
| Name | LESLIE ENDRIS |
| Role | OPERATIONS MANAGER |
| Phone | 7272021053 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 13292 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | 13292 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JARMOLYCH WILLIAM D | Agent | 2702 Tampa Rd., Palm Harbor, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| JARMOLYC WILLIAM D | President | 2702 Tampa Rd., Palm Harbor, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| Ehring Patricia TDr. | Vice President | 2702 Tampa Rd., Palm Harbor, FL, 34684 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000000371 | WILLIAM JARMOLYCH | EXPIRED | 2014-01-02 | 2019-12-31 | No data | 4400 WINDING WILLOW DR., PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-02 | 2702 Tampa Rd., Palm Harbor, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2013-05-02 | 2702 Tampa Rd., Palm Harbor, FL 34684 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-02 | 2702 Tampa Rd., Palm Harbor, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-05-02 |
| Domestic Profit | 2012-06-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
