Search icon

PARK STREET DENTAL, LLC

Company Details

Entity Name: PARK STREET DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Jun 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Nov 2006 (18 years ago)
Document Number: L04000043988
FEI/EIN Number 20-1230591
Address: 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709
Mail Address: 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709
ZIP code: 33709
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154776730 2016-05-02 2016-05-02 4911 PARK ST N, SUITE A, ST PETERSBURG, FL, 337092227, US 4911 PARK ST N, SUITE A, ST PETERSBURG, FL, 337092227, US

Contacts

Phone +1 727-548-7733
Fax 7275480015

Authorized person

Name JOSE M GARCIA
Role OWNER
Phone 7275487733

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN11980
State FL
Is Primary Yes

Agent

Name Role Address
GARCIA, JOSE M, DDS Agent 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709

Managing Member

Name Role Address
GARCIA, JOSE M, DDS Managing Member 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709
GARCIA, ANN C Managing Member 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-16 GARCIA, JOSE M, DDS No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-03 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709 No data
CHANGE OF MAILING ADDRESS 2008-04-03 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709 No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-03 4911 PARK STREET NORTH, ST. PETERSBURG, FL 33709 No data
REINSTATEMENT 2006-11-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-05-01
ANNUAL REPORT 2015-04-22

Date of last update: 29 Jan 2025

Sources: Florida Department of State