| Entity Name: | ITI AGARWAL, DDS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Dec 2019 (5 years ago) |
| Document Number: | P20000000533 |
| FEI/EIN Number | 84-5192650 |
| Address: | 5810 Highway 90, Milton, FL, 32570, US |
| Mail Address: | 2855 MAGNOLIA AVENUE, PENSACOLA, FL, 32503, US |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851929434 | 2020-03-30 | 2020-03-30 | 2855 MAGNOLIA AVE, PENSACOLA, FL, 325034875, US | 5810 HIGHWAY 90, MILTON, FL, 325831762, US | |||||||||||||
|
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| Phone | +1 301-806-7719 |
Authorized person
| Name | ITI AGARWAL |
| Role | PRESIDENT |
| Phone | 3018067719 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AGARWAL ITI DDS | Agent | 2855 MAGNOLIA AVENUE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| AGARWAL ITI DDS | President | 2855 MAGNOLIA AVENUE, PENSACOLA, FL, 32503 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000037118 | THRIVE DENTAL ASSOCIATES | ACTIVE | 2020-03-31 | 2025-12-31 | No data | 2855 MAGNOLIA AVENUE, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-07 | 5810 Highway 90, Milton, FL 32570 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-04-07 |
| Domestic Profit | 2019-12-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
