| Entity Name: | JORDAN ROBBINS, DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2021 (3 years ago) |
| Document Number: | P21000083863 |
| FEI/EIN Number | 87-2824110 |
| Address: | 1801 W HIBISCUS BLVD, MELBOURNE, FL, 32901, US |
| Mail Address: | 1801 W HIBISCUS BLVD, MELBOURNE, AL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568200863 | 2024-07-19 | 2024-07-19 | 1801 W HIBISCUS BLVD, MELBOURNE, FL, 329012622, US | 1801 W HIBISCUS BLVD, MELBOURNE, FL, 329012622, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 321-372-7700 |
Authorized person
| Name | DR. JORDAN ROSE ROBBINS |
| Role | DENTIST |
| Phone | 3214325173 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBBINS JORDAN | Agent | 1801 W HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| ROBBINS JORDAN | President | 1801 W HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-01 | 1801 W HIBISCUS BLVD, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-01 |
| Domestic Profit | 2021-09-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
