| Entity Name: | DENTAL ASSOCIATES OF BARTOW PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2011 (14 years ago) |
| Document Number: | L11000030766 |
| FEI/EIN Number | 451057620 |
| Mail Address: | 204 Summer Sails Dr, Valrico, FL, 33594, US |
| Address: | 2090 Flamingo Drive East, Bartow, FL, 33830, US |
| ZIP code: | 33830 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366710022 | 2011-12-09 | 2011-12-09 | 1054 N BROADWAY AVE STE 13, BARTOW, FL, 338303301, US | 3500 S FLORIDA AVE STE 2, LAKELAND, FL, 338034869, US | |||||||||||||||||||||||
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| Phone | +1 863-533-4444 |
| Fax | 8635334453 |
| Phone | +1 863-510-5960 |
| Fax | 8635105961 |
Authorized person
| Name | MR. BILL WITT |
| Role | OPERATIONS MANAGER |
| Phone | 8635105960 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17074 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mueller William A | Agent | 2432 W Sunset Dr, Tampa, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SE | Manager | 1707 W Reynolds Street, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-20 | 2090 Flamingo Drive East, Bartow, FL 33830 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-07 | Mueller, William A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-07 | 2432 W Sunset Dr, Tampa, FL 33629 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-28 | 2090 Flamingo Drive East, Bartow, FL 33830 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
