| Entity Name: | PIMENDENT, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jun 2012 (13 years ago) |
| Document Number: | P12000058116 |
| FEI/EIN Number | 45-5589789 |
| Address: | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL, 34787, US |
| Mail Address: | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093062630 | 2012-08-14 | 2012-08-14 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 560 N US HIGHWAY 27 # 441, LADY LAKE, FL, 321593776, US | |||||||||||||||||
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| Phone | +1 352-259-1065 |
Authorized person
| Name | ASHLEY COLE |
| Role | PROVIDER RELATIONS MANAGER |
| Phone | 8662738204 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17338 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NASON, YEAGER, GERSON, HARRIS & FUMERO, P. | Agent | 3001 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| PIMENTEL PAUL D | President | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| PIMENTEL PAUL D | Secretary | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| PIMENTEL PAUL D | Treasurer | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL, 34787 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000112549 | ASPEN DENTAL | EXPIRED | 2012-11-23 | 2017-12-31 | No data | SHOPPES AT VILLAGE CROSSROADS, 560 N US HWY 27/441, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-07 | 3001 PGA BOULEVARD, SUITE 305, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-15 | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-15 | 15327 JOHNS LAKE POINTE BLVD, Winter Garden, FL 34787 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-30 | NASON, YEAGER, GERSON, HARRIS & FUMERO, P.A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
