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  5. CITRUS DENTAL OF INVERNESS, P.A.

CITRUS DENTAL OF INVERNESS, P.A.

Company Details

Entity Name: CITRUS DENTAL OF INVERNESS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 1998 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 29 Oct 2009 (15 years ago)
Document Number: P98000080824
FEI/EIN Number 593532859
Address: 2231 HWY 44 W #101, INVERNESS, FL, 34453, US
Mail Address: 2231 HWY.44 W. #101, INVERNESS, FL, 34453, US
ZIP code: 34453
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164712881 2011-04-14 2011-04-14 2231 HIGHWAY 44 W, UNIT 101, INVERNESS, FL, 344533879, US 2231 HIGHWAY 44 W, UNIT 101, INVERNESS, FL, 344533879, US

Contacts
Phone +1 352-726-5854
Fax 3527266893

Authorized person
Name DR. EDWIN HOLLAND
Role OWNER
Phone 3527265854

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5731
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CITRUS DENTAL OF INVERNESS, P.A. CASH BALANCE PLAN 2023 593532859 2024-10-15 CITRUS DENTAL OF INVERNESS, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HWY 44 W, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing DR. EDWIN L. HOLLAND
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. 401(K) PLAN 2023 593532859 2024-07-03 CITRUS DENTAL OF INVERNESS, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HWY 44 W, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing SANDRA MILLER
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. CASH BALANCE PLAN 2022 593532859 2023-09-20 CITRUS DENTAL OF INVERNESS, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HWY 44 W, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing DR. EDWIN L. HOLLAND
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. 401(K) PLAN 2022 593532859 2023-07-19 CITRUS DENTAL OF INVERNESS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HWY 44 W, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing SANDRA MILLER
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. 401(K) PLAN 2021 593532859 2022-06-17 CITRUS DENTAL OF INVERNESS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2022-06-17
Name of individual signing SANDRA MILLER
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. CASH BALANCE PLAN 2021 593532859 2022-09-21 CITRUS DENTAL OF INVERNESS, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing DR. EDWIN L. HOLLAND
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. CASH BALANCE PLAN 2020 593532859 2021-09-21 CITRUS DENTAL OF INVERNESS, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST UNIT 101, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing DR. EDWIN L. HOLLAND
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. 401(K) PLAN 2020 593532859 2021-06-21 CITRUS DENTAL OF INVERNESS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing SANDRA MILLER
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. CASH BALANCE PLAN 2019 593532859 2020-10-07 CITRUS DENTAL OF INVERNESS, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST UNIT 101, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing DR. EDWIN L. HOLLAND
Valid signature Filed with authorized/valid electronic signature
CITRUS DENTAL OF INVERNESS, P.A. 401(K) PLAN 2019 593532859 2020-05-04 CITRUS DENTAL OF INVERNESS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3527265854
Plan sponsor’s address 2231 HIGHWAY 44 WEST, UNIT 101, INVERNESS, FL, 34453

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing SANDRA MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GASSMAN ALAN S Agent 1245 COURT STREET, STE. 102, CLEARWATER, FL, 33756

Director

Name Role Address
HOLLAND EDWIN L Director 2231 HWY 44 W #101, INVERNESS, FL, 34453
PICHARDO EDGAR L Director 2231 HWY 44 W #101, INVERNESS, FL, 34453

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-02-20 2231 HWY 44 W #101, INVERNESS, FL 34453 No data
CHANGE OF MAILING ADDRESS 2014-02-20 2231 HWY 44 W #101, INVERNESS, FL 34453 No data
AMENDMENT 2009-10-29 No data No data
CANCEL ADM DISS/REV 2009-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
NAME CHANGE AMENDMENT 2009-09-15 CITRUS DENTAL OF INVERNESS, P.A. No data
AMENDMENT 2001-01-29 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-02-03
ANNUAL REPORT 2015-03-04

Related by officers

HOLLAND EDWIN L

OXIGENO DE CARIBE, INC. GAYLE ENTERPRISES INC.

GASSMAN ALAN S

LE CONDOMINIUM, L.L.C. SFJ HOLDINGS, L.L.C. WITTENSTEIN FAMILY HOLDINGS, L.L.C. MOBILE HIGHWAY PROPERTY HOLDINGS, L.L.C. BEST AMERICAN MEDICAL CARE, L.L.C. PINELLAS COASTAL PROPERTY MANAGEMENT, L.L.C. SAFETY HARBOR PROPERTY HOLDINGS, L.L.C. 13189 ASHVALE DRIVE, L.L.C. VIC'S ENTERPRISES, L.L.C. SIX-ONE, L.L.C.

Related by address

2231 HWY 44 W #101, INVERNESS, FL, 34453, US

GATOR 13, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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