| Entity Name: | SEMINOLE DENTAL, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2021 (4 years ago) |
| Document Number: | P21000021692 |
| FEI/EIN Number | 862548471 |
| Address: | 9303 SEMINOLE BLVD, SUITE D, SEMINOLE, FL, 33772, US |
| Mail Address: | 9303 Seminole Blvd, STE D, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164004982 | 2021-04-21 | 2021-04-21 | 1204 E CUMBERLAND AVE UNIT 430, TAMPA, FL, 336024233, US | 9303 SEMINOLE BLVD STE D, SEMINOLE, FL, 337723100, US | |||||||||||||
|
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| Phone | +1 561-779-6859 |
Authorized person
| Name | SHAHAB SAMIMI |
| Role | OWNER |
| Phone | 5617796859 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMIMI SHAHAB | Agent | 9303 Seminole Blvd, Seminole, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| Samimi Shahab | President | 9303 Seminole Blvd, Seminole, FL, 33772 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000137063 | DENTISTS OF SEMINOLE | ACTIVE | 2021-10-12 | 2026-12-31 | No data | 9303 SEMINOLE BLVD, STE D, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-05 | 9303 Seminole Blvd, STE D, Seminole, FL 33772 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-12 | 9303 SEMINOLE BLVD, SUITE D, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-04-05 |
| Domestic Profit | 2021-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
