| Entity Name: | ADVANCED ENDODONTICS OF WINTER PARK, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Jan 2020 (5 years ago) |
| Document Number: | P20000003207 |
| FEI/EIN Number | 84-4347545 |
| Mail Address: | 743 STIRLING CENTER PLACE, UNIT 1701, LAKE MARY, FL 32746 |
| Address: | 400 W. MORSE BLVD., SUITE 102, WINTER PARK, FL 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417587130 | 2020-01-22 | 2020-01-22 | 743 STIRLING CENTER PL STE 1701, LAKE MARY, FL, 327465712, US | 400 W MORSE BLVD STE 102, WINTER PARK, FL, 327894259, US | |||||||||||||||
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| Phone | +1 407-574-4271 |
| Fax | 4076742539 |
Authorized person
| Name | AMBER PERRY |
| Role | CFO |
| Phone | 4075535532 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHEN, PETER S | Agent | 209 TIMACUAN OAKS COURT, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| CHEN, PETER S | President | 209 TIMACUAN OAKS COURT, LAKE MARY, FL 32746 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-07 |
| Domestic Profit | 2020-01-16 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
