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ADVANCED ENDODONTICS OF VOLUSIA, PA - Florida Company Profile

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Company Details

Entity Name: ADVANCED ENDODONTICS OF VOLUSIA, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Apr 2021 (4 years ago)
Document Number: P21000035811
FEI/EIN Number 86-3435976
Address: 3821 Woodbriar Trail, #4, Port Orange, FL, 32129, US
Mail Address: 743 STIRLING CENTER PLACE, SUITE 1701, LAKE MARY, FL, 32746, US
ZIP code: 32129
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHEN PETER S President 209 TIMACUAN OAKS COURT, LAKE MARY, FL, 32746
Chen Peter Agent 3821 Woodbriar Trail, Port Orange, FL, 32129

National Provider Identifier

NPI Number:
1831853290
Certification Date:
2021-10-05

Authorized Person:

Name:
PETER CHEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4076742539

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-07-06 3821 Woodbriar Trail, #4, Port Orange, FL 32129 -
REGISTERED AGENT ADDRESS CHANGED 2022-07-06 3821 Woodbriar Trail, #4, Port Orange, FL 32129 -
REGISTERED AGENT NAME CHANGED 2022-03-30 Chen, Peter -

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-03-29
AMENDED ANNUAL REPORT 2022-07-06
ANNUAL REPORT 2022-03-30
Domestic Profit 2021-04-13

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Date of last update: 01 Aug 2025

Sources: Florida Department of State