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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
OLMOS, RODOLFO | Agent | 500 N SEMORAN BLVD, ORLANDO, FL 32807 |
Name | Role | Address |
---|---|---|
OLMOS, RODOLFO A | President | 500 N SEMORAN BLVD, ORLANDO, FL 32807 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-12 |
Domestic Profit | 2023-05-10 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State