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JEFFREY M. HARTOG, D.M.D., M.D., P.A.

Company Details

Entity Name: JEFFREY M. HARTOG, D.M.D., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Sep 1993 (31 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Nov 2002 (22 years ago)
Document Number: P93000065302
FEI/EIN Number 65-0442188
Address: 107 ANCHOR DR, PONCE INLET, FL 32127
Mail Address: 107 ANCHOR DR, PONCE INLET, FL 32127
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518234962 2011-11-29 2011-11-29 4355 BEAR GULLY RD, WINTER PARK, FL, 327929422, US 4355 BEAR GULLY RD, WINTER PARK, FL, 327929422, US

Contacts

Phone +1 407-579-7329
Fax 4076793331

Authorized person

Name JEFFREY M HARTOG
Role DIRECTOR
Phone 4075797329

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
HARTOG, JEFFREY M Agent 107 Anchor Drive, Ponce Inlet, FL 32127

mgr

Name Role Address
Hartog, Michelle mgr 107 ANCHOR DR, PONCE INLET, FL 32127

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-20 107 Anchor Drive, Ponce Inlet, FL 32127 No data
CHANGE OF PRINCIPAL ADDRESS 2022-10-11 107 ANCHOR DR, PONCE INLET, FL 32127 No data
CHANGE OF MAILING ADDRESS 2022-10-11 107 ANCHOR DR, PONCE INLET, FL 32127 No data
REINSTATEMENT 2002-11-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data
REINSTATEMENT 1998-12-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data
REGISTERED AGENT NAME CHANGED 1997-04-25 HARTOG, JEFFREY M No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-03-21
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-02-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State