| Entity Name: | COAST BRANDON TOWN CENTER, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2001 (23 years ago) |
| Document Number: | L01000017999 |
| FEI/EIN Number | 593737319 |
| Mail Address: | 5706 Benjamin Center Drive, Suite 103, Tampa, FL, 33634, US |
| Address: | 2119 WEST BRANDON BLVD., F, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548368467 | 2006-09-21 | 2020-07-09 | 5706 BENJAMIN CENTER DR STE 103, TAMPA, FL, 336345262, US | 5706 BENJAMIN CENTER DR STE 103, TAMPA, FL, 33634, US | |||||||||||||||
|
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| Phone | +1 813-350-7160 |
| Fax | 8134342325 |
Authorized person
| Name | DARLENE FINNELL |
| Role | DIRECTOR OF CREDENTIALING |
| Phone | 8133507160 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COAST DENTAL SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| COAST DENTAL SERVICES, LLC | Auth | No data |
| JOEL CAUDILL, DDS | Auth | 2119 WEST BRANDON BLVD., SUITE F, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-26 | 2119 WEST BRANDON BLVD., F, BRANDON, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | Coast Dental Services, LLC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-29 | 5706 BENJAMIN CENTER DR STE 103, TAMPA, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-22 | 2119 WEST BRANDON BLVD., F, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-02-18 |
| AMENDED ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2020-01-13 |
| Reg. Agent Change | 2019-07-29 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-02-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
