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NICKEL PEDIATRIC DENTISTRY INC.

Company Details

Entity Name: NICKEL PEDIATRIC DENTISTRY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Oct 2021 (3 years ago)
Document Number: P21000089095
FEI/EIN Number 87-3150912
Address: 2145 Indian River Blvd, Ste B, Vero Beach, FL, 32960, US
Mail Address: 925 TURTLE COVE LANE, VERO BEACH, FL, 32963, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548902752 2022-04-08 2022-04-08 925 TURTLE COVE LN, VERO BEACH, FL, 329632323, US 2145 INDIAN RIVER BLVD STE B, VERO BEACH, FL, 329605218, US

Contacts

Phone +1 949-500-7447
Phone +1 772-242-9949

Authorized person

Name ANDREW NICKEL
Role PEDIATRIC DENTIST
Phone 9495007547

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
LEBLANC STEPHANIE MESQ. Agent 5070 HIGHWAY A1A, VERO BEACH, FL, 32963

President

Name Role Address
NICKEL ANDREW DR. President 925 TURTLE COVE LANE, VERO BEACH, FL, 32963

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-05-24 LEBLANC, STEPHANIE M, ESQ. No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-24 5070 HIGHWAY A1A, SUITE 221, VERO BEACH, FL 32963 No data
CHANGE OF PRINCIPAL ADDRESS 2023-02-14 2145 Indian River Blvd, Ste B, Vero Beach, FL 32960 No data

Documents

Name Date
ANNUAL REPORT 2024-01-03
Reg. Agent Change 2023-05-24
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-01
Domestic Profit 2021-10-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State