| Entity Name: | BUCKEYE DENTAL OF TAVERNIER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Nov 2009 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Jul 2011 (14 years ago) |
| Document Number: | L09000107274 |
| FEI/EIN Number | 27-1325216 |
| Address: | 91750 OVERSEAS HIGHWAY, TAVENIER, FL 33070 |
| Mail Address: | 91750 OVERSEAS HIGHWAY, TAVENIER, FL 33070 |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205165081 | 2009-12-08 | 2009-12-08 | 91750 OVERSEAS HWY, TAVERNIER, FL, 330702642, US | 91750 OVERSEAS HWY, TAVERNIER, FL, 330702642, US | |||||||||||||||||||
|
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| Phone | +1 305-852-3219 |
| Fax | 3058529016 |
Authorized person
| Name | DR. OSMANI DIAZ |
| Role | GENERAL PARTNER |
| Phone | 9546328100 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN12310 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ, JOSEFINA | Agent | 5620 CASTLEGATE AVE., DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| OSMANI DIAZ D.D.S. | Managing Member | 91750 OVERSEAS HIGHWAY, TAVENIER, FL 33070 |
| Name | Role | Address |
|---|---|---|
| Diaz, Josefina | Partner | 91750 OVERSEAS HIGHWAY, TAVENIER, FL 33070 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000008679 | FLORIDA KEYS DENTISTS | EXPIRED | 2019-01-16 | 2024-12-31 | No data | 91750 OVERSEAS HIGHWAY, TAVERNIER, FL, 33070 |
| G10000011526 | FLORIDA KEYS DENTISTS | EXPIRED | 2010-02-04 | 2015-12-31 | No data | 91750 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| G09000182979 | OSMANI DIAZ DDS, RICHARD C. LAGE DDS, AND ASSOCIATES | EXPIRED | 2009-12-09 | 2014-12-31 | No data | 91750 OVERSEAS HWY, TAVERNIER, FL, 33070 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2011-07-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-17 | DIAZ, JOSEFINA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-17 | 5620 CASTLEGATE AVE., DAVIE, FL 33331 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
