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JEFFERSON M. PECORA DMD, PA

Company Details

Entity Name: JEFFERSON M. PECORA DMD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 May 2017 (8 years ago)
Last Event: ARTICLES OF CORRECTION/NAME CHANGE
Event Date Filed: 18 May 2017 (8 years ago)
Document Number: P17000043362
FEI/EIN Number 82-1575485
Address: 8530 N Wickham Rd, Viera, FL, 32940, US
Mail Address: 8530 N Wickham Rd, Viera, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598286387 2017-06-30 2022-07-21 2105 PALM BAY RD NE STE 4-5, PALM BAY, FL, 329052937, US 2105 PALM BAY RD NE STE 4-5, PALM BAY, FL, 329052937, US

Contacts

Phone +1 321-725-7644

Authorized person

Name JEFFERSON M PECORA
Role PRESIDENT
Phone 3217257644

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN13729
State FL
Is Primary Yes

Agent

Name Role Address
Pecora Jefferson MDr. Agent 8530 N Wickham Rd, Viera, FL, 32940

President

Name Role Address
PECORA JEFFERSON M President 8530 N Wickham Rd, Viera, FL, 32940

Secretary

Name Role Address
PECORA JEFFERSON M Secretary 8530 N Wickham Rd, Viera, FL, 32940

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-07 Pecora, Jefferson M, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-07 8530 N Wickham Rd, Ste 112 #505, Viera, FL 32940 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-21 8530 N Wickham Rd, Ste 112 #505, Viera, FL 32940 No data
CHANGE OF MAILING ADDRESS 2023-06-21 8530 N Wickham Rd, Ste 112 #505, Viera, FL 32940 No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2017-05-18 JEFFERSON M. PECORA DMD, PA No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-06-01
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-04
Article of Correction/NC 2017-05-18
Domestic Profit 2017-05-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State