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ROLLING ACRES DENTISTRY PA

Company Details

Entity Name: ROLLING ACRES DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Nov 2013 (11 years ago)
Document Number: P13000094111
FEI/EIN Number 46-4141379
Address: 922 ROLLING ACRES ROAD, SUITE 2, LADY LAKE, FL, 32159, US
Mail Address: 922 ROLLING ACRES ROAD, LADY LAKE, FL, 32159, US
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558901751 2020-01-15 2020-01-15 175 NW 138TH TERRACE, SUITE 200, JONESVILLE, FL, 32669, US 922 ROLLING ACRES ROAD, SUITE #2, LADY LAKE, FL, 32159, US

Contacts

Phone +1 352-332-3080
Fax 3523333729
Phone +1 352-259-8284
Fax 3522598217

Authorized person

Name VIVEK NERIKAR
Role DMD- DENTIST OWNER
Phone 9045534859

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
BERNAL INGRID Agent 6460 SW 12TH COURT, OCALA, FL, 34471

President

Name Role Address
BERNAL INGRID President 6460 SW 12TH COURT, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-16 922 ROLLING ACRES ROAD, SUITE 2, LADY LAKE, FL 32159 No data
REGISTERED AGENT NAME CHANGED 2023-03-16 BERNAL, INGRID No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-16 6460 SW 12TH COURT, OCALA, FL 34471 No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-17
ANNUAL REPORT 2015-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State