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BRANDON MALL DENTAL, P.A.

Company Details

Entity Name: BRANDON MALL DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 Feb 2014 (11 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Jun 2014 (11 years ago)
Document Number: P14000017814
FEI/EIN Number 46-5590311
Address: 675 BRANDON TOWN CENTER MALL, BRANDON, FL 33511
Mail Address: C/O Rostislav Krasnov, 333 SE 2nd Ave., Suite 2520, Miami, FL 33131
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922419597 2014-05-16 2014-05-16 675 BRANDON TOWN CENTER MALL, BRANDON, FL, 335114770, US 675 BRANDON TOWN CENTER MALL, BRANDON, FL, 335114770, US

Contacts

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

Agent

Name Role Address
Krasnov, Rostislav Agent C/O Rostislav Krasnov, 333 SE 2nd Ave., Suite 2520, Miami, FL 33131

President

Name Role Address
KRASNOV, ROSTISLAV President 17749 COLLINS AVENUE, APT 2902 SUNNY ISLES BEACH, FL 33160

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-10 Krasnov, Rostislav No data
CHANGE OF MAILING ADDRESS 2015-03-11 675 BRANDON TOWN CENTER MALL, BRANDON, FL 33511 No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-11 C/O Rostislav Krasnov, 333 SE 2nd Ave., Suite 2520, Miami, FL 33131 No data
AMENDMENT 2014-06-03 No data No data
AMENDMENT 2014-05-30 No data No data

Documents

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 2016-02-15
ANNUAL REPORT 2015-03-11

Date of last update: 22 Jan 2025

Sources: Florida Department of State