| Entity Name: | JOSE LUIS BELTRAN, DMD, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2009 (16 years ago) |
| Document Number: | L09000007177 |
| FEI/EIN Number | 264093970 |
| Address: | 11424 N. 56th st, Temple Terrace, FL, 33617, US |
| Mail Address: | 11424 N. 56th Street, Temple Terrace, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780150938 | 2018-10-15 | 2018-10-15 | 11424 N 56TH ST, TEMPLE TERRACE, FL, 336172237, US | 11424 N 56TH ST, TEMPLE TERRACE, FL, 336172237, US | |||||||||||||
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| Phone | +1 813-373-4573 |
Authorized person
| Name | JOSE BELTRAN |
| Role | OWNER |
| Phone | 8183734573 |
Taxonomy
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BELTRAN JOSE L | Agent | 11424 N. 56th Street, Temple Terrace, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| BELTRAN JOSE L | Managing Member | 11424 N. 56th st, Temple Terrace, FL, 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000135096 | ALLEZ DENTAL SURGERY | ACTIVE | 2020-10-19 | 2025-12-31 | No data | 11424 N 56TH STREET, TEMPLE TERRACE, FL, 33617 |
| G09063900358 | BELTRAN DENTAL SURGERY | EXPIRED | 2009-03-04 | 2014-12-31 | No data | 6003 GRAND PALM DRIVE #717, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-22 | 11424 N. 56th st, Temple Terrace, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 11424 N. 56th st, Temple Terrace, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-22 | 11424 N. 56th Street, Temple Terrace, FL 33617 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-06-20 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
