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IMMOKALEE DENTAL, P.A.

Company Details

Entity Name: IMMOKALEE DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Mar 2017 (8 years ago)
Document Number: P17000028694
FEI/EIN Number 820851681
Mail Address: C/O SHAW LAW FIRM, P.A., 2338 IMMOKALEE RD., #424, NAPLES, FL, 34110, US
Address: 1013 W. MAIN STREET, IMMOKALEE, FL, 34142, US
ZIP code: 34142
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457881922 2017-06-15 2017-06-15 1013 W. MAIN ST., UNIT 6A, IMMOKALEE, FL, 34142, US 1013 W. MAIN ST., UNIT 6A, IMMOKALEE, FL, 34142, US

Contacts

Phone +1 239-657-7007

Authorized person

Name MICHAEL D. KANE
Role DIR.
Phone 2396577007

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN17673
State FL
Is Primary Yes

Agent

Name Role Address
KANE MICHAEL Agent C/O SHAW LAW FIRM, P.A., NAPLES, FL, 34110

President

Name Role Address
KANE MICHAEL President 2338 IMMOKALEE RD #424, NAPLES, FL, 34110

Director

Name Role Address
KANE MICHAEL Director 2338 IMMOKALEE RD #424, NAPLES, FL, 34110

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-20 1013 W. MAIN STREET, Suite 6A, IMMOKALEE, FL 34142 No data

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-03-20
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-01-18
Domestic Profit 2017-03-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State