| Entity Name: | AFDIC MOFFETT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Apr 2024 (10 months ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Apr 2024 (9 months ago) |
| Document Number: | P24000026253 |
| Address: | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 33579, US |
| Mail Address: | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 33579, US |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093563918 | 2024-05-07 | 2024-05-07 | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187, US | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187, US | |||||||||||||
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| Phone | +1 813-677-3331 |
Authorized person
| Name | JEFF MOFFETT |
| Role | PRESIDENT |
| Phone | 8136773331 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOFFETT JEFFREY V | Agent | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| MOFFETT JEFFREY V | President | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 33579 |
| RYAN GRIDER JOSEPH | President | 444 BRICKELL AVENUE, SUITE 48, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| MOFFETT JEFFREY V | Director | 13136 VAIL RIDGE DR, RIVERVIEW, FL, 33579 |
| RYAN GRIDER JOSEPH | Director | 444 BRICKELL AVENUE, SUITE 48, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-04-25 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-04-25 |
| Domestic Profit | 2024-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
