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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MORTMAN RORY E | Agent | 1501 PRESIDENTIAL WAY, WEST PALM BEACH, FL, 33401 |
Name | Role | Address |
---|---|---|
MORTMAN RORY E | President | 1501 PRESIDENTIAL WAY, STE 7, WEST PALM BEACH, FL, 33401 |
Name | Role | Address |
---|---|---|
MORTMAN TY X | Vice President | 1501 PRESIDENTIAL WAY, WEST PALM BEACH, FL, 33401 |
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 |
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