| Entity Name: | RUBAN FAMILY AND COSMETIC DENTISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jul 2018 (7 years ago) |
| Document Number: | P18000062560 |
| FEI/EIN Number | 83-1272796 |
| Address: | 3098 66th St N, St Petersburg, FL, 33710, US |
| Mail Address: | 3098 66th St N, St Petersburg, FL, 33710, US |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730657404 | 2018-11-11 | 2018-11-11 | 4312 W EL PRADO BLVD, TAMPA, FL, 336298440, US | 4312 W EL PRADO BLVD, TAMPA, FL, 336298440, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-831-8588 |
Authorized person
| Name | PETER LOPATIN |
| Role | PRESIDENT |
| Phone | 8138318588 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0536997 |
| State | NJ |
| Name | Role | Address |
|---|---|---|
| LOPATIN PETER | Agent | 3098 66th St N, St Petersburg, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| LOPATIN PETER | President | 3098 66th St N, St Petersburg, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| LOPATIN CHRISTINE H | Vice President | 3098 66th St N, St Petersburg, FL, 33710 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000137927 | RUBAN DENTAL | ACTIVE | 2020-10-25 | 2025-12-31 | No data | 4312 W EL PRADO BLVD, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 3098 66th St N, St Petersburg, FL 33710 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 3098 66th St N, St Petersburg, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 3098 66th St N, St Petersburg, FL 33710 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-27 |
| Domestic Profit | 2018-07-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
