Search icon

DESTINATION DNTL, P.A.

Company Details

Entity Name: DESTINATION DNTL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Nov 2022 (2 years ago)
Last Event: CONVERSION
Event Date Filed: 04 Nov 2022 (2 years ago)
Document Number: P22000084947
FEI/EIN Number 87-4719890
Mail Address: 5240 BENTGRASS WAY, BRADENTON, FL, 34211, US
Address: 10014 US-301 N, Parrish, FL, 34219, US
ZIP code: 34219
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710678057 2023-05-17 2023-05-17 10014 US HIGHWAY 301 N, PARRISH, FL, 342198493, US 10014 US HIGHWAY 301 N, PARRISH, FL, 342198493, US

Contacts

Phone +1 941-842-2240

Authorized person

Name DR. MICHAEL KUTSYK
Role PRESIDENT
Phone 9418422240

Taxonomy

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

Agent

Name Role Address
KUTSYK MICHAEL Agent 5240 BENTGRASS WAY, BRADENTON, FL, 34211

Chief Executive Officer

Name Role Address
KUTSYK MICHAEL Chief Executive Officer 5240 BENTGRASS WAY, BRADENTON, FL, 34211

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000070137 DESTINATION DENTAL ACTIVE 2023-06-08 2028-12-31 No data 10014 US 301 N, PARRISH, FL, 34219

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-08 10014 US-301 N, Parrish, FL 34219 No data
CONVERSION 2022-11-04 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L22000006580. CONVERSION NUMBER 300000232703

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-03-08
Domestic Profit 2022-11-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State