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TARPON RIVER DENTAL, P.A. - Florida Company Profile

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Company Details

Entity Name: TARPON RIVER DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Sep 2019 (6 years ago)
Document Number: P19000075484
FEI/EIN Number 84-3301250
Address: 416 SE 11TH COURT, FORT LAUDERDALE, FL, 33316, US
Mail Address: 416 SE 11TH COURT, FORT LAUDERDALE, FL, 33316, US
ZIP code: 33316
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PETRUK MARIEL President 416 SE 11TH COURT, FORT LAUDERDALE, FL, 33316
- Agent -

National Provider Identifier

NPI Number:
1134762818

Authorized Person:

Name:
DR. MARIEL PETRUK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-12 STANFORD ENTITY MANAGEMENT LLC -
REGISTERED AGENT ADDRESS CHANGED 2024-04-12 3109 Grand Ave, 321, Coconut Grove, FL 33133 -

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-06-01
Domestic Profit 2019-09-25

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Date of last update: 02 Jul 2025

Sources: Florida Department of State