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DENTISTS OF MAITLAND, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS OF MAITLAND, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Dec 2024 (9 months ago)
Document Number: P24000074322
FEI/EIN Number 33-2405036
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 500 MAITLAND BLVD, MAITLAND, FL, 32751, US
ZIP code: 32751
City: Maitland
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Overmeyer Jessica M President 17000 Red Hill Ave., Irvine, CA, 92614
Pham Minh Secretary 17000 Red Hill Ave., Irvine, CA, 92614
Nam Sung M Treasurer 17000 Red Hill Ave., Irvine, CA, 92614
Ghazal Carolyn Director 17000 Red Hill Ave., Irvine, CA, 92614
Ayoub Maya Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1073321402
Certification Date:
2024-12-18

Authorized Person:

Name:
JESSICA M OVERMEYER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000020467 DENTISTS OF MAITLAND ACTIVE 2025-02-10 2030-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Documents

Name Date
Domestic Profit 2024-12-11

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Date of last update: 01 Aug 2025

Sources: Florida Department of State