| Entity Name: | MITCHELL ORAL SURGERY AND IMPLANT CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Dec 2014 (10 years ago) |
| Document Number: | P14000101924 |
| FEI/EIN Number | 47-3231253 |
| Mail Address: | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652, US |
| Address: | 2535 LANDMARK DRIVE, BUILDING F, SUITE 105, CLEARWATER, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Gibbs III David C | Agent | 13790 ROOSEVELT BLVD., CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| MITCHELL MARK W | President | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| Mehta Uday | Vice President | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| Johnston Deon | Secretary | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| Young Shaun | Director | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000066205 | MAXILLOFACIAL SURGICAL ARTS & IMPLANT CENTERS | EXPIRED | 2017-06-15 | 2022-12-31 | No data | 6731 MADISON STREET, NEW PORT RICHEY, FL, 34652 |
| G15000039724 | MOSAIC | EXPIRED | 2015-04-21 | 2020-12-31 | No data | 2535 LANDMARK DRIVE, BUILDING F, SUITE 105, CLEARWATER, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-09 | 13790 ROOSEVELT BLVD., SUITE A, CLEARWATER, FL 33762 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-02 | Gibbs III, David C | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-07-26 |
| AMENDED ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
