| Entity Name: | DENTAL ASSOCIATES OF WINTER HAVEN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Jun 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000070610 |
| FEI/EIN Number | 45-2553389 |
| Mail Address: | 1707 W REYNOLDS STREET, PLANT CITY, FL 33563 |
| Address: | 329 CYPRESS GARDENS BOULEVARD, WINTER HAVEN, FL 33880 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578830147 | 2011-11-25 | 2011-11-25 | 317 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338804452, US | 3500 S FLORIDA AVE, SUITE 2, LAKELAND, FL, 338034869, US | |||||||||||||||||||||||
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| Phone | +1 863-875-7934 |
| Fax | 8638757938 |
| Phone | +1 863-510-5960 |
| Fax | 8635105961 |
Authorized person
| Name | 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 |
|---|---|---|
| Hardin, Jr., Benjamin W., Esq. | Agent | 1905 Bartow Road, Lakeland, FL 33801 |
| Name | Role |
|---|---|
| DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SERVICES CO., LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-13 | 329 CYPRESS GARDENS BOULEVARD, WINTER HAVEN, FL 33880 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-28 | 329 CYPRESS GARDENS BOULEVARD, WINTER HAVEN, FL 33880 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-28 | Hardin, Jr., Benjamin W., Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-28 | 1905 Bartow Road, Lakeland, FL 33801 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-04-07 |
| ANNUAL REPORT | 2012-03-19 |
| Florida Limited Liability | 2011-06-16 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
