| Entity Name: | EHSAN Y. SHARAF-ELDEEN DMD, MD, FACS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Nov 2019 (5 years ago) |
| Document Number: | P19000089575 |
| FEI/EIN Number | 84-3908251 |
| Address: | 940 S Harbor City Blvd, Melbourne, FL, 32901, US |
| Mail Address: | 749 Hummingbird Drive, Indialantic, FL, 32903, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SHARAF-ELDEEN EHSAN | Agent | 1890 PALM BAY ROAD NE, Suite 2, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| SHARAF-ELDEEN EHSAN YDR. | President | 1890 PALM BAY ROAD NE, Suite 2, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| Elhusein Sara TDr. | Secretary | 749 Hummingbird Drive, Indialantic, FL, 32903 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000133399 | GREATER BREVARD ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANTS | ACTIVE | 2019-12-17 | 2029-12-31 | No data | 749 HUMMINGBIRD DRIVE, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-12 | 940 S Harbor City Blvd, Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-29 | 940 S Harbor City Blvd, Melbourne, FL 32901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-06 | 1890 PALM BAY ROAD NE, Suite 2, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-02-07 |
| Domestic Profit | 2019-11-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
