| Entity Name: | SAFETY HARBOR FAMILY DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 May 2016 (9 years ago) |
| Document Number: | P16000045644 |
| FEI/EIN Number | 81-2751068 |
| Address: | 353 Main Street, Safety Harbor, FL 34695 |
| Mail Address: | 2616 SHIPSTON AVENUE, NEW PORT RICHEY, FL 34655 |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366890501 | 2016-05-27 | 2016-05-27 | 353 MAIN ST, SAFETY HARBOR, FL, 346953646, US | 353 MAIN ST, SAFETY HARBOR, FL, 346953646, US | |||||||||||||||||||||||||||||
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| Phone | +1 781-975-1560 |
Authorized person
| Name | DR. GUIFANG CAI |
| Role | PRESIDENT |
| Phone | 7819751560 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN21230 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1578943353 |
| State | FL |
| Issuer | DENTAL LICENSENUMBER |
| Number | DN21230 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cai, Guifang | Agent | 353 Main Street, Safety Harbor, FL 34695 |
| Name | Role | Address |
|---|---|---|
| CAI, GUIFANG, DR | President | 2616 SHIPSTON AVENUE, NEW PORT RICHEY, FL 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-04 | 353 Main Street, Safety Harbor, FL 34695 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | Cai, Guifang | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-18 | 353 Main Street, Safety Harbor, FL 34695 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-04 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-02-20 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-26 |
| Domestic Profit | 2016-05-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3008547110 | 2020-04-11 | 0455 | PPP | 353 MAIN ST, SAFETY HARBOR, FL, 34695-3646 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
