| Entity Name: | CENTER FOR INTEGRATIVE ORAL HEALTH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Aug 2019 (5 years ago) |
| Document Number: | P19000060026 |
| FEI/EIN Number | 84-2483764 |
| Address: | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL 32792 |
| Mail Address: | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073160487 | 2019-08-20 | 2020-01-17 | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL, 327926724, US | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL, 327926724, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 407-664-6999 |
Authorized person
| Name | DR. JAISRI R THOPPAY |
| Role | PRESIDENT |
| Phone | 4076646999 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223X2210X - Orofacial Pain Dentist |
| Is Primary | No |
| Taxonomy Code | 125Q00000X - Oral Medicine |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | LY180 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Rajeshbabu, Thoppay KB | Agent | 1193 Wading Waters Cir, Winter Park, FL 32792 |
| Name | Role | Address |
|---|---|---|
| THOPPAY, JAISRI R | President and CEO | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-04 | 1193 Wading Waters Cir, Winter Park, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-10 | Rajeshbabu, Thoppay KB | No data |
| AMENDMENT | 2019-08-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-22 | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-22 | 7151 UNIVERSITY BLVD UNIT 110, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-20 |
| ANNUAL REPORT | 2021-05-04 |
| ANNUAL REPORT | 2020-06-10 |
| Amendment | 2019-08-22 |
| Domestic Profit | 2019-07-23 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
