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DIO TAMPA, P.A - Florida Company Profile

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Company Details

Entity Name: DIO TAMPA, P.A
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Nov 2023 (2 years ago)
Document Number: P23000082305
FEI/EIN Number 99-1366284
Address: 6401 CONGRESS AVE, 150, BOCA RATON, FL, 33487, US
Mail Address: 6401 CONGRESS AVE, 150, BOCA RATON, FL, 33487, US
ZIP code: 33487
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NOORTHOEK DANIEL RDR Manager 6401 CONGRESS AVE, SUITE 150, BOCA RATON, FL, 33487
GLICK NICHOLAS S Agent 6401 CONGRESS AVE, BOCA RATON, FL, 33487

National Provider Identifier

NPI Number:
1922855733
Certification Date:
2024-05-01

Authorized Person:

Name:
MR. NICHOLAS GLICK
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000157907 EVERY SMILE ACTIVE 2024-12-30 2029-12-31 - 10825 BOYETTE ROAD, RIVERVIEW, FL, 33569

Documents

Name Date
ANNUAL REPORT 2024-04-02
Domestic Profit 2023-11-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State