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PERDIDO BAY DENTAL, PA

Company Details

Entity Name: PERDIDO BAY DENTAL, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Jan 2015 (10 years ago)
Document Number: P15000001838
FEI/EIN Number 47-2730315
Address: 12950 LILLIAN HWY, PENSACOLA, FL, 32506, US
Mail Address: 12950 LILLIAN HWY, PENSACOLA, FL, 32506, US
ZIP code: 32506
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225427818 2015-01-20 2015-01-20 12950 LILLIAN HWY, PENSACOLA, FL, 325068423, US 12950 LILLIAN HWY, PENSACOLA, FL, 325068423, US

Contacts

Phone +1 850-542-4428
Fax 8506077515

Authorized person

Name DR. SLAVOLJUB DJURIC
Role PRESIDENT
Phone 8505424428

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN12887
State FL
Is Primary Yes

Agent

Name Role Address
DJURIC SLAVOLJUB Agent 12950 LILLIAN HWY, PENSACOLA, FL, 32506

President

Name Role Address
DJURIC SLAVOLJUB President 12950 LILLIAN HWY, PENSACOLA, FL, 32506

Secretary

Name Role Address
DJURIC SLAVOLJUB Secretary 12950 LILLIAN HWY, PENSACOLA, FL, 32506

Treasurer

Name Role Address
DJURIC SLAVOLJUB Treasurer 12950 LILLIAN HWY, PENSACOLA, FL, 32506

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-20 12950 LILLIAN HWY, PENSACOLA, FL 32506 No data
CHANGE OF MAILING ADDRESS 2021-01-20 12950 LILLIAN HWY, PENSACOLA, FL 32506 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-20 12950 LILLIAN HWY, PENSACOLA, FL 32506 No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-02-02
Domestic Profit 2015-01-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State