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PIMENDENT II, PA

Company Details

Entity Name: PIMENDENT II, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 11 Mar 2014 (11 years ago)
Document Number: P14000022445
FEI/EIN Number 46-5090377
Address: 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787
Mail Address: 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700203528 2014-03-19 2014-03-19 PO BOX 3189, SYRACUSE, NY, 132203189, US 1812 DUNLAWTON AVE STE 101, PORT ORANGE, FL, 321272925, US

Contacts

Phone +1 315-454-6000
Phone +1 386-233-3040
Fax 3867568810

Authorized person

Name AMY MARKO
Role VP INS OPS
Phone 3154546000

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 17338
State FL
Is Primary Yes

Agent

Name Role
NASON, YEAGER, GERSON, HARRIS & FUMERO, P.A. Agent

President

Name Role Address
PIMENTEL, PAUL President 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787

Secretary

Name Role Address
PIMENTEL, PAUL Secretary 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787

Treasurer

Name Role Address
PIMENTEL, PAUL Treasurer 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000056280 ASPEN DENTAL EXPIRED 2014-06-10 2019-12-31 No data 1812 DUNLAWTON AVE., PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-07-07 3001 PGA BOULEVARD, SUITE 305, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF PRINCIPAL ADDRESS 2017-08-15 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787 No data
CHANGE OF MAILING ADDRESS 2017-08-15 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787 No data
REGISTERED AGENT NAME CHANGED 2016-03-30 NASON, YEAGER, GERSON, HARRIS & FUMERO, P.A No data

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-02-17

Date of last update: 22 Jan 2025

Sources: Florida Department of State