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EQ DENTAL 1 PA

Company Details

Entity Name: EQ DENTAL 1 PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 May 2023 (2 years ago)
Document Number: P23000037190
FEI/EIN Number 92-4027401
Address: 500 N SEMORAN BLVD, ORLANDO, FL 32807
Mail Address: 500 N SEMORAN BLVD, ORLANDO, FL 32807
ZIP code: 32807
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588356695 2023-05-25 2023-05-25 9753 S ORANGE BLOSSOM TRL STE 105, ORLANDO, FL, 328378998, US 500 N SEMORAN BLVD, ORLANDO, FL, 328073381, US

Contacts

Phone +1 407-857-8585

Authorized person

Name DR. RODOLFO OLMOS
Role OWNER
Phone 4078578585

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
OLMOS, RODOLFO Agent 500 N SEMORAN BLVD, ORLANDO, FL 32807

President

Name Role Address
OLMOS, RODOLFO A President 500 N SEMORAN BLVD, ORLANDO, FL 32807

Documents

Name Date
ANNUAL REPORT 2024-04-12
Domestic Profit 2023-05-10

Date of last update: 09 Jan 2025

Sources: Florida Department of State