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NICKEL PEDIATRIC DENTISTRY INC. - Florida Company Profile

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Company Details

Entity Name: NICKEL PEDIATRIC DENTISTRY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Oct 2021 (4 years ago)
Document Number: P21000089095
FEI/EIN Number 87-3150912
Address: 2145 Indian River Blvd, Ste B, Vero Beach, FL, 32960, US
Mail Address: 2145 Indian River Blvd, Ste B, Vero Beach, FL, 32960, US
ZIP code: 32960
City: Vero Beach
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NICKEL ANDREW DR. President 925 TURTLE COVE LANE, VERO BEACH, FL, 32963
LEBLANC STEPHANIE MESQ. Agent 5070 HIGHWAY A1A, VERO BEACH, FL, 32963

National Provider Identifier

NPI Number:
1548902752
Certification Date:
2022-04-08

Authorized Person:

Name:
ANDREW NICKEL
Role:
PEDIATRIC DENTIST
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-12 2145 Indian River Blvd, Ste B, Vero Beach, FL 32960 -
REGISTERED AGENT NAME CHANGED 2023-05-24 LEBLANC, STEPHANIE M, ESQ. -
REGISTERED AGENT ADDRESS CHANGED 2023-05-24 5070 HIGHWAY A1A, SUITE 221, VERO BEACH, FL 32963 -
CHANGE OF PRINCIPAL ADDRESS 2023-02-14 2145 Indian River Blvd, Ste B, Vero Beach, FL 32960 -

Documents

Name Date
ANNUAL REPORT 2025-02-12
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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State