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ELLENTON FAMILY DENTAL CORP

Company Details

Entity Name: ELLENTON FAMILY DENTAL CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Jul 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Apr 2024 (9 months ago)
Document Number: P15000063819
FEI/EIN Number 47-4632692
Address: 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222
Mail Address: 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222
ZIP code: 34222
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184092629 2015-09-14 2015-09-14 5975 FACTORY SHOPS BLVD, ELLENTON, FL, 342224125, US 5975 FACTORY SHOPS BLVD, ELLENTON, FL, 342224125, US

Contacts

Phone +1 941-479-7936
Fax 9414797991

Authorized person

Name CARLA M MATHEWS
Role OFFICE MANAGER
Phone 9414797936

Taxonomy

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

Agent

Name Role Address
KRAUSE, KEVIN Agent 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222

President

Name Role Address
KRAUSE, KEVIN J President 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-04-17 No data No data
REGISTERED AGENT NAME CHANGED 2024-04-17 KRAUSE, KEVIN No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-14 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222 No data
CHANGE OF MAILING ADDRESS 2020-06-14 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-14 5947 FACTORY SHOPS BLVD, ELLENTON, FL 34222 No data

Documents

Name Date
REINSTATEMENT 2024-04-17
AMENDED ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-14
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-07-14
ANNUAL REPORT 2016-03-28
Domestic Profit 2015-07-28

Date of last update: 20 Jan 2025

Sources: Florida Department of State