| Entity Name: | M.D.M. OF ELLENTON P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Mar 2013 (12 years ago) |
| Date of dissolution: | 13 Jun 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 13 Jun 2016 (9 years ago) |
| Document Number: | P13000020092 |
| Address: | 5975 Factory Shops Blvd, Ellenton, FL 34222 |
| Mail Address: | 701 S HOWARD AVE STE 106-386, TAMPA, FL 33606 |
| ZIP code: | 34222 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558779918 | 2014-07-30 | 2014-07-30 | 701 S HOWARD AVE, STE 106-386, TAMPA, FL, 336062473, US | 5975 FACTORY SHOPS BLVD, ELLENTON, FL, 342224125, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 941-254-2300 |
Authorized person
| Name | DR. JEFFREY MARTIN |
| Role | PRESIDENT |
| Phone | 9412542300 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN18829 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Martin, Jeffrey, Dr. | Agent | 701 s. howard ave, 106-386, tampa, FL 33606 |
| Name | Role | Address |
|---|---|---|
| MARTIN, JEFFREY | President | 701 S HOWARD AVE STE 106-386, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| MARTIN, JEFFREY | Secretary | 701 S HOWARD AVE STE 106-386, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| MARTIN, JEFFREY | Treasurer | 701 S HOWARD AVE STE 106-386, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| MARTIN, JEFFREY | Director | 701 S HOWARD AVE STE 106-386, TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000013742 | ALL ABOUT TEETH ELLENTON | EXPIRED | 2014-02-08 | 2019-12-31 | No data | 701 S. HOWARD AVE, STE 106-386, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2016-06-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-24 | 5975 Factory Shops Blvd, Ellenton, FL 34222 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-22 | Martin, Jeffrey, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 701 s. howard ave, 106-386, tampa, FL 33606 | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2016-06-13 |
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-04-22 |
| Domestic Profit | 2013-03-01 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
