| Entity Name: | MICHAEL F. AGNINI, D.D.S., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 1991 (34 years ago) |
| Document Number: | S36850 |
| FEI/EIN Number | 593051299 |
| Address: | 1805 LAKELAND HILLS BLVD., LAKELAND, FL, 33805 |
| Mail Address: | 1805 LAKELAND HILLS BLVD., LAKELAND, FL, 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851568182 | 2008-05-15 | 2008-05-15 | 2304 LAKELAND HILLS BLVD, LAKELAND, FL, 338052910, US | 2304 LAKELAND HILLS BLVD, LAKELAND, FL, 338052910, US | |||||||||||||||||||
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| Phone | +1 863-682-1500 |
| Fax | 8636826318 |
Authorized person
| Name | DR. MICHAEL F AGNINI |
| Role | OWNER/PRESIDENT |
| Phone | 8636821500 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN5964 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AGNINI Andrew P | Agent | 1805 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| AGNINI MICHAEL F | President | 214 FERNERY RD., LAKELAND, FL, 33809 |
| Name | Role | Address |
|---|---|---|
| Agnini Andrew P | Vice President | 1805 LAKELAND HILLS BLVD., LAKELAND, FL, 33805 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000015775 | BIO SOLUTION DENTAL LAB | ACTIVE | 2022-02-05 | 2027-12-31 | No data | 1805 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| G18000000539 | BIO SOLUTION DENTAL LAB | EXPIRED | 2018-01-02 | 2023-12-31 | No data | 1805 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| G14000125273 | AGNINI FAMILY DENTAL | ACTIVE | 2014-12-13 | 2029-12-31 | No data | 1805 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| G04310700070 | AGNINI FAMILY DENTAL CENTER | ACTIVE | 2004-11-05 | 2029-12-31 | No data | 1805 LAKELAND HILLS BLVD., LAKELAND, FL, 33805 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
