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SOUTH TAMPA DENTAL, PLLC - Florida Company Profile

Company Details

Entity Name: SOUTH TAMPA DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTH TAMPA DENTAL, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Oct 2010 (15 years ago)
Document Number: L10000108613
FEI/EIN Number 273710762

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3112 W. KENNEDY BLVD, TAMPA, FL, 33609, US
Mail Address: 3112 W. KENNEDY BLVD, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316242787 2011-01-17 2011-01-17 3112 W KENNEDY BLVD, TAMPA, FL, 336093021, US 3112 W KENNEDY BLVD, TAMPA, FL, 336093021, US

Contacts

Phone +1 813-874-5869

Authorized person

Name MRS. JENNY LEON
Role RECEPTIONIST
Phone 8138745869

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN0010475
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
DIEZ RANDALL A Agent 3112 W. KENNEDY BLVD, TAMPA, FL, 33609
RANDALL A. DIEZ, D.M.D., P.A. Managing Member -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25

Date of last update: 01 Apr 2025

Sources: Florida Department of State