| Entity Name: | ADVANCED DENTAL CARE OF CLEARWATER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 1996 (29 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 26 Jan 2006 (19 years ago) |
| Document Number: | P96000045727 |
| FEI/EIN Number | 650667802 |
| Mail Address: | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Address: | 3690 E Bay Dr, Suite K, Largo, FL, 33771, US |
| ZIP code: | 33771 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588796965 | 2007-03-12 | 2014-01-07 | 3690 E BAY DR, SUITE L, LARGO, FL, 337715903, US | 3690 E BAY DR, SUITE L, LARGO, FL, 337715903, US | |||||||||||||
|
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| Phone | +1 727-535-5583 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 7277261611 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Heffelfinger Jason | Chief Executive Officer | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 3690 E Bay Dr, Suite K, Largo, FL 33771 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 3690 E Bay Dr, Suite K, Largo, FL 33771 | No data |
| NAME CHANGE AMENDMENT | 2006-01-26 | ADVANCED DENTAL CARE OF CLEARWATER, P.A. | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-04-25 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
