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RYAN S. HOLBROOK, DMD, P.A.

Company Details

Entity Name: RYAN S. HOLBROOK, DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2015 (10 years ago)
Document Number: P15000003200
FEI/EIN Number 47-2719350
Address: 200 Capri Isles Blvd, Venice, FL, 34292, US
Mail Address: 5565 New Covington Drive, Sarasota, FL, 34233, US
ZIP code: 34292
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134886062 2021-11-28 2021-11-28 5565 NEW COVINGTON DR, SARASOTA, FL, 342335212, US 200 CAPRI ISLES BLVD UNIT 1A, VENICE, FL, 342922335, US

Contacts

Phone +1 574-265-9507
Phone +1 941-484-3885

Authorized person

Name DR. RYAN HOLBROOK
Role OWNER/DENTIST
Phone 9414843885

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
Holbrook Ryan Agent 200 Capri Isles Blvd, Venice, FL, 34292

President

Name Role Address
HOLBROOK RYAN President 5565 New Covington Dr, SARASOTA, FL, 34233

Vice President

Name Role Address
HOLBROOK RYAN Vice President 5565 New Covington Dr, SARASOTA, FL, 34233

Secretary

Name Role Address
HOLBROOK RYAN Secretary 5565 New Covington Dr, SARASOTA, FL, 34233

Treasurer

Name Role Address
HOLBROOK RYAN Treasurer 5565 New Covington Dr, SARASOTA, FL, 34233

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000064919 FLORIDA DENTAL IMPLANT CENTER ACTIVE 2021-05-11 2026-12-31 No data 200 CAPRI ISLES BLVD, VENICE, FL, 34292
G21000064918 VENICE COMPREHENSIVE DENTISTRY ACTIVE 2021-05-11 2026-12-31 No data 200 CAPRI ISLES BLVD, VENICE, FLORIDA, FL, 34292

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-21 200 Capri Isles Blvd, Unit 1A, Venice, FL 34292 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-21 200 Capri Isles Blvd, Unit 1A, Venice, FL 34292 No data
CHANGE OF MAILING ADDRESS 2021-02-14 200 Capri Isles Blvd, Unit 1A, Venice, FL 34292 No data
REGISTERED AGENT NAME CHANGED 2021-02-14 Holbrook, Ryan No data

Documents

Name Date
ANNUAL REPORT 2024-01-21
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-03-08
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-09
Domestic Profit 2015-01-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State