| Entity Name: | AFFORDABLE DENTURES & IMPLANTS - FORT MYERS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| 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 |
| Address: | 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194557033 | 2024-08-19 | 2024-08-19 | 4329 CLEVELAND AVE STE 250, FORT MYERS, FL, 339019085, US | 4329 CLEVELAND AVE STE 250, FORT MYERS, FL, 339019085, US | |||||||||||||
|
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| Phone | +1 239-936-6722 |
Authorized person
| Name | EDDY ROMERO MATOS |
| Role | OWNER |
| Phone | 2399366722 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ROMERO MATOS, EDDY, DMS | President | 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Gaines, Brett | Asst. Treasurer | 4329 S. CLEVELAND AVENUE, SUITE 250, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| LASSETER, ANNA | Secretary | 629 DAVIS DRIVE, 300 MORRISVILLE, NC 27560 |
| 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 |
| 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 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
