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ANDREW MARTIN DMD, P.A.

Company Details

Entity Name: ANDREW MARTIN DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 24 Oct 2012 (12 years ago)
Document Number: P12000089495
FEI/EIN Number 46-1287883
Address: 3909 NEWBERRY ROAD, SUITE G, GAINESVILLE, FL 32607
Mail Address: 3909 NEWBERRY ROAD, SUITE G, GAINESVILLE, FL 32607
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851020366 2022-06-09 2022-06-09 3909 NEWBERRY RD STE G, GAINESVILLE, FL, 326072367, US 3909 NEWBERRY RD STE G, GAINESVILLE, FL, 326072367, US

Contacts

Phone +1 352-371-9831

Authorized person

Name DR. ANDREW PAUL MARTIN
Role OWNER/DENTIST
Phone 9542344547

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
MARTIN, ANDREW Agent 3909 NEWBERRY ROAD, SUITE G, GAINESVILLE, FL 32607

President

Name Role Address
MARTIN, ANDREW President 3909 NEWBERRY ROAD, SUITE G, GAINESVILLE, FL 32607

Director

Name Role Address
MARTIN, ANDREW Director 3909 NEWBERRY ROAD, SUITE G, GAINESVILLE, FL 32607

Business Manager

Name Role Address
Badve, Irma P Business Manager 3909 NEWBERRY ROAD, SUITE G GAINESVILLE, FL 32607

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000122794 COMPREHENSIVE DENTAL CARE ACTIVE 2012-12-19 2027-12-31 No data 3909 W NEWBERRY ROAD, SUITE G, GAINESVILLE, FL, 32607

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-03-02

Date of last update: 23 Jan 2025

Sources: Florida Department of State