| Entity Name: | RICHARD A PERALLON DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 May 2019 (6 years ago) |
| Document Number: | P19000044616 |
| FEI/EIN Number | 84-1971186 |
| Address: | 205 ZEAGLER DRIVE, SUITE 301, PALATKA, FL 32177 |
| Mail Address: | 205 ZEAGLER DRIVE, STE 301, PALATKA, FL 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801436043 | 2020-01-15 | 2020-01-15 | 205 ZEAGLER DR STE 301, PALATKA, FL, 321773860, US | 205 ZEAGLER DR STE 301, PALATKA, FL, 321773860, US | |||||||||||||
|
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| Phone | +1 386-325-4504 |
Authorized person
| Name | RICHARD A PERALLON |
| Role | OWNER |
| Phone | 3863254504 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BANKS, PATRICIA K | Agent | 519 CRILL AVENUE, PALATKA, FL 32177 |
| Name | Role | Address |
|---|---|---|
| PERALLON, RICHARD A | President | 105 MORRIS STREET, PALATKA, FL 32177 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-29 |
| Domestic Profit | 2019-05-21 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
