| Entity Name: | EDISON MALL DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Feb 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Jun 2014 (11 years ago) |
| Document Number: | P14000013841 |
| FEI/EIN Number | 46-5603972 |
| Address: | 4125 CLEVELAND AVENUE, SUITE 1430, FORT MYERS, FL 33901 |
| Mail Address: | C/O Rostislav Krasnov, 333 SE 2nd Ave, Suite 2502, Miami, FL 33131 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831500404 | 2014-05-16 | 2014-05-16 | 4125 CLEVELAND AVE, SUITE 1430, FORT MYERS, FL, 339019046, US | 4125 CLEVELAND AVE, SUITE 1430, FORT MYERS, FL, 339019046, US | |||||||||||||||||
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| Phone | +1 954-846-7171 |
Authorized person
| Name | ROSTISLAV KRASNOV |
| Role | DDS |
| Phone | 9548467171 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN16377 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Krasnov, Rostislav | Agent | C/O Rostislav Krasnov, 333 SE 2nd Ave, Suite 2502, Miami, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV | President | 17749 COLLINS AVENUE, SUITE 2902 SUNNY ISLES BEACH, FL 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-02-10 | Krasnov, Rostislav | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-11 | 4125 CLEVELAND AVENUE, SUITE 1430, FORT MYERS, FL 33901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-11 | C/O Rostislav Krasnov, 333 SE 2nd Ave, Suite 2502, Miami, FL 33131 | No data |
| AMENDMENT | 2014-06-03 | No data | No data |
| AMENDMENT | 2014-05-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
