| Entity Name: | NICOLE MARTINO, DMD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Dec 2019 (5 years ago) |
| Document Number: | P19000091893 |
| FEI/EIN Number | 84-3994822 |
| Address: | 7603 SEMINOLE BLVD., SUITE B, SEMINOLE, FL, 33772, US |
| Mail Address: | 7603 SEMINOLE BLVD., SUITE B, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316571383 | 2020-02-27 | 2021-07-24 | 7603 SEMINOLE BLVD STE B, SEMINOLE, FL, 337724888, US | 7603 SEMINOLE BLVD STE B, SEMINOLE, FL, 337724888, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-391-0269 |
Authorized person
| Name | DR. NICOLE MARTINO |
| Role | PRESIDENT |
| Phone | 7273910269 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARTINO NICOLE C | Agent | 7603 SEMINOLE BLVD., SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| MARTINO NICOLE C | President | 7603 SEMINOLE BLVD., SEMINOLE, FL, 33772 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000031733 | INNOVATIVE DENTAL SOLUTIONS | ACTIVE | 2022-03-09 | 2027-12-31 | No data | 7603 SEMINOLE BLVD, SUITE B, SEMINOLE, FL, 33772 |
| G20000019834 | INNOVATIVE DENTAL SOLUTIONS OF SEMINOLE | ACTIVE | 2020-02-13 | 2025-12-31 | No data | 7603 SEMINOLE BLVD, SUITE B, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 7603 SEMINOLE BLVD., SUITE B, SEMINOLE, FL 33772 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 7603 SEMINOLE BLVD., SUITE B, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-30 |
| Domestic Profit | 2019-12-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
