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MAGNOLIA GREEN DENTAL CARE, P.A.

Company Details

Entity Name: MAGNOLIA GREEN DENTAL CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Apr 2018 (7 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Apr 2024 (9 months ago)
Document Number: P18000033660
FEI/EIN Number 82-5116417
Address: 6975 PROFESSIONAL PARKWAY EAST, SUITE B, LAKEWOOD RANCH, FL 34240
Mail Address: 6975 PROFESSIONAL PARKWAY EAST, SUITE B, LAKEWOOD RANCH, FL 34240
ZIP code: 34240
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316671688 2022-07-13 2022-07-13 1 N DALE MABRY HWY STE 605, TAMPA, FL, 336092781, US 6975 PROFESSIONAL PKWY STE B, LAKEWOOD RANCH, FL, 342408430, US

Contacts

Phone +1 813-692-2224
Fax 8132003400
Phone +1 941-240-2750
Fax 8638080589

Authorized person

Name KEVIN KRAUSE
Role PRESIDENT
Phone 9419233802

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
KRAUSE, KEVIN Agent 4886 CHERRY LAUREL CIR, SARASOTA, FL 34241

President

Name Role Address
KRAUSE, KEVIN President 4886 CHERRY LAUREL CIR, SARASOTA, FL 34241

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000041354 MAGNOLIA GREEN DENTAL CARE CORP ACTIVE 2020-04-14 2025-12-31 No data 6975 PROFESSIONAL PARKWAY EAST, SUITE B, LAKEWOOD RANCH, FL, 34240

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-04-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
AMENDMENT AND NAME CHANGE 2020-04-07 MAGNOLIA GREEN DENTAL CARE, P.A. No data
REINSTATEMENT 2019-10-13 No data No data
REGISTERED AGENT NAME CHANGED 2019-10-13 KRAUSE, KEVIN No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
REINSTATEMENT 2024-04-17
AMENDED ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-14
Amendment and Name Change 2020-04-07
REINSTATEMENT 2019-10-13
Domestic Profit 2018-04-10

Date of last update: 18 Jan 2025

Sources: Florida Department of State