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RIVERSIDE FAMILY DENTAL, P.A.

Company Details

Entity Name: RIVERSIDE FAMILY DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Sep 2015 (9 years ago)
Last Event: CONVERSION
Event Date Filed: 18 Sep 2015 (9 years ago)
Document Number: P15000079423
FEI/EIN Number 47-5162989
Address: 9402 US HWY 1, SEBASTIAN, FL, 32958, US
Mail Address: 9402 US Highway 1, SEBASTIAN, FL, 32958, US
ZIP code: 32958
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902275852 2015-09-22 2015-09-28 9402 N US HIGHWAY 1, SEBASTIAN, FL, 329586398, US 9402 N US HIGHWAY 1, SEBASTIAN, FL, 329586398, US

Contacts

Phone +1 772-589-1140

Authorized person

Name DR. HOLLY HAMILTON
Role DIRECTOR
Phone 7725891140

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
HAMILTON HOLLY DMD Agent 9402 US HWY 1, SEBASTIAN, FL, 32958

Director

Name Role Address
HAMILTON HOLLY Director 9402 US Highway 1, SEBASTIAN, FL, 32958

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2016-05-10 9402 US HWY 1, SEBASTIAN, FL 32958 No data
CONVERSION 2015-09-18 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L15000007386. CONVERSION NUMBER 700000154507

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-17
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-05-10
Domestic Profit 2015-09-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State