Entity Name: | DR. KELLI DMD, PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 14 Feb 2018 (7 years ago) |
Document Number: | P18000015572 |
FEI/EIN Number | 82-4471430 |
Address: | 1729 HERITAGE TRAIL SUITE 904, NAPLES, FL 34112 |
Mail Address: | 1729 HERITAGE TRAIL SUITE 904, NAPLES, FL 34112 |
ZIP code: | 34112 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992206593 | 2018-02-28 | 2018-02-28 | 1729 HERITAGE TRL # 904, NAPLES, FL, 341127591, US | 1729 HERITAGE TRL # 904, NAPLES, FL, 341127591, US | |||||||||||||||||||
|
Phone | +1 239-304-1900 |
Fax | 2393041917 |
Authorized person
Name | DR. KELLI EBERHARDT SALOMON |
Role | OWNER |
Phone | 2393041900 |
Taxonomy
Taxonomy Code | 261QD0000X - Dental Clinic/Center |
License Number | DN22050 |
State | FL |
Is Primary | Yes |
Name | Role |
---|---|
PADLY LAW PA | Agent |
Name | Role | Address |
---|---|---|
EBERHARDT SALOMON, KELLI | President | 10022 BOCA CIRCLE, NAPLES, FL 34109 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-15 |
ANNUAL REPORT | 2023-03-02 |
ANNUAL REPORT | 2022-02-21 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-02-24 |
ANNUAL REPORT | 2019-04-30 |
Domestic Profit | 2018-02-14 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State