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GRAND OAKS DENTAL CARE CORP

Company Details

Entity Name: GRAND OAKS DENTAL CARE CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 May 2022 (3 years ago)
Document Number: P22000038299
FEI/EIN Number 88-2480935
Address: 2710 SE 17TH ST, OCALA, FL, 34471
Mail Address: 6870 SW 12TH COURT, OCALA, FL, 34476
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114621513 2023-03-29 2023-03-29 2710 SE 17TH ST, OCALA, FL, 344715519, US 2710 SE 17TH ST, OCALA, FL, 344715519, US

Contacts

Phone +1 352-820-4926

Authorized person

Name DR. SIMON AMIR
Role OWNER
Phone 3526827640

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No

Agent

Name Role Address
AMIR SIMON Agent 6870 SW 12TH CT, OCALA, FL, 34476

President

Name Role Address
AMIR SIMON President 6870 SW 12TH CT, OCALA, FL, 34476

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000088852 GRAND OAKS DENTAL CARE ACTIVE 2023-07-30 2028-12-31 No data 2710 SE 17TH ST, OCALA, FL, 34471

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-19
Domestic Profit 2022-05-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State