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AFFORDABLE DENTURES & IMPLANTS - FORT MYERS, P.A. - Florida Company Profile

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Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - FORT MYERS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jul 2020 (5 years ago)
Document Number: P20000049924
FEI/EIN Number 85-1947454
Mail Address: 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560, US
Address: 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL, 33901, US
ZIP code: 33901
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
ROMERO MATOS EDDY DMS President 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL, 33901
Gaines Brett Asst 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL, 33901
LASSETER ANNA Secretary 629 DAVIS DRIVE, MORRISVILLE, NC, 27560

National Provider Identifier

NPI Number:
1194557033
Certification Date:
2024-08-19

Authorized Person:

Name:
EDDY ROMERO MATOS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000260321 TERMINATED 1000000990722 LEE 2024-04-30 2044-05-01 $ 28,397.16 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-04-27
Domestic Profit 2020-07-10

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Date of last update: 02 Aug 2025

Sources: Florida Department of State