| Entity Name: | SEABREEZE ENDODONTICS PENSACOLA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Jul 2019 (6 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 01 Jun 2020 (5 years ago) |
| Document Number: | P19000054938 |
| FEI/EIN Number | 84-2408344 |
| Address: | 9013 University Parkway, Unit H, Pensacola, FL, 32514, US |
| Mail Address: | 9013 University Parkway, Unit H, Pensacola, FL, 32514, US |
| ZIP code: | 32514 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992357289 | 2019-07-16 | 2020-10-14 | 9013 UNIVERSITY PKWY STE H, PENSACOLA, FL, 325149421, US | 9013 UNIVERSITY PKWY STE H, PENSACOLA, FL, 325149421, US | |||||||||||||||
|
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| Phone | +1 850-285-0935 |
| Fax | 8887885217 |
Authorized person
| Name | DR. SHANE ROBERT HANSON |
| Role | PRESIDENT |
| Phone | 8503987849 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Geric Christopher DMD | President | 9013 University Parkway, Pensacola, FL, 32514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-03 | 9013 University Parkway, Unit H, Pensacola, FL 32514 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-03 | 9013 University Parkway, Unit H, Pensacola, FL 32514 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-01 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| NAME CHANGE AMENDMENT | 2020-06-01 | SEABREEZE ENDODONTICS PENSACOLA, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| Reg. Agent Change | 2023-08-01 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| Name Change | 2020-06-01 |
| ANNUAL REPORT | 2020-05-13 |
| Domestic Profit | 2019-07-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
