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ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A.

Company Details

Entity Name: ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jun 1998 (27 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Feb 2011 (14 years ago)
Document Number: P98000049156
FEI/EIN Number 650842674
Address: 1501 PRESIDENTIAL WAY, # 7, WEST PALM BEACH, FL, 33401
Mail Address: 1501 PRESIDENTIAL WAY, # 7, WEST PALM BEACH, FL, 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083629141 2006-07-29 2020-08-22 1501 PRESIDENTIAL WAY STE 7, WEST PALM BEACH, FL, 334011852, US 1501 PRESIDENTIAL WAY STE 7, WEST PALM BEACH, FL, 334011852, US

Contacts

Phone +1 561-684-1312
Fax 5616840182

Authorized person

Name DR. RORY E. MORTMAN
Role OWNER
Phone 5616841312

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
License Number 13846
State FL
Is Primary Yes

Agent

Name Role Address
MORTMAN RORY E Agent 1501 PRESIDENTIAL WAY, WEST PALM BEACH, FL, 33401

President

Name Role Address
MORTMAN RORY E President 1501 PRESIDENTIAL WAY, STE 7, WEST PALM BEACH, FL, 33401

Vice President

Name Role Address
MORTMAN TY X Vice President 1501 PRESIDENTIAL WAY, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-02-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-28 1501 PRESIDENTIAL WAY, # 7, WEST PALM BEACH, FL 33401 No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-28 1501 PRESIDENTIAL WAY, # 7, WEST PALM BEACH, FL 33401 No data
CHANGE OF MAILING ADDRESS 2009-04-28 1501 PRESIDENTIAL WAY, # 7, WEST PALM BEACH, FL 33401 No data
AMENDMENT 2007-11-28 No data No data
NAME CHANGE AMENDMENT 2001-09-05 ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A. No data
REGISTERED AGENT NAME CHANGED 2000-12-13 MORTMAN, RORY E No data
REINSTATEMENT 2000-12-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-23
ANNUAL REPORT 2020-05-20
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-01-12
ANNUAL REPORT 2015-01-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State