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ENDODONTIC ASSOCIATES OF TAMPA PA

Company Details

Entity Name: ENDODONTIC ASSOCIATES OF TAMPA PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Jun 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Jan 2024 (a year ago)
Document Number: P16000052231
FEI/EIN Number 47-1627081
Address: 11940 SHELDON RD, TAMPA, FL, 33626, US
Mail Address: 3165 MCMULLEN BOOTH RD, A2, CLEARWATER, FL, 33761, US
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053711036 2014-08-27 2014-08-27 3165 N MCMULLEN BOOTH RD STE 2, CLEARWATER, FL, 337612032, US 11940 SHELDON RD, TAMPA, FL, 336263643, US

Contacts

Phone +1 727-796-2183
Fax 7277268827

Authorized person

Name DR. RAED S AL KASEM
Role PRESIDENT
Phone 7277962183

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

Agent

Name Role Address
KASEM RAED AL DR. Agent 3165 MCMULLEN BOOTH RD, CLEARWATER, FL, 33761

President

Name Role Address
AL KASEM RAED S President 3165 MCMULLEN BOOTH RD A2`, CLEARWATER, FL, 33761

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-18 No data No data
REGISTERED AGENT NAME CHANGED 2024-01-18 KASEM, RAED AL, DR. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
REINSTATEMENT 2024-01-18
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-25
Reg. Agent Change 2020-11-12
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-14
Domestic Profit 2016-06-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State