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RYAN S. HOLBROOK, DMD, P.A. - Florida Company Profile

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Company Details

Entity Name: RYAN S. HOLBROOK, DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2015 (11 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
City: Venice
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOLBROOK RYAN President 5565 New Covington Dr, SARASOTA, FL, 34233
HOLBROOK RYAN Vice President 5565 New Covington Dr, SARASOTA, FL, 34233
HOLBROOK RYAN Secretary 5565 New Covington Dr, SARASOTA, FL, 34233
HOLBROOK RYAN Treasurer 5565 New Covington Dr, SARASOTA, FL, 34233
Holbrook Ryan Agent 200 Capri Isles Blvd, Venice, FL, 34292

National Provider Identifier

NPI Number:
1134886062
Certification Date:
2021-11-28

Authorized Person:

Name:
DR. RYAN HOLBROOK
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
472719350
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:

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 - 200 CAPRI ISLES BLVD, VENICE, FL, 34292
G21000064918 VENICE COMPREHENSIVE DENTISTRY ACTIVE 2021-05-11 2026-12-31 - 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 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-21 200 Capri Isles Blvd, Unit 1A, Venice, FL 34292 -
CHANGE OF MAILING ADDRESS 2021-02-14 200 Capri Isles Blvd, Unit 1A, Venice, FL 34292 -
REGISTERED AGENT NAME CHANGED 2021-02-14 Holbrook, Ryan -

Documents

Name Date
ANNUAL REPORT 2025-02-09
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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State