| Entity Name: | DENTAL ASSOCIATES OF TAMPA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jul 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: | L11000077528 |
| FEI/EIN Number | 452684481 |
| Mail Address: | 1707 W REYNOLDS STREET, PLANT CITY, FL, 33563, US |
| Address: | 315 WEST BUSCH BOULEVARD, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235403817 | 2012-02-29 | 2012-02-29 | 1311 W BUSCH BLVD, TAMPA, FL, 336127709, US | 1311 W BUSCH BLVD, TAMPA, FL, 336127709, US | |||||||||||||||||
|
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| Phone | +1 813-898-2888 |
Authorized person
| Name | CRYSTAL G BLEDSOE |
| Role | OPERATIONS ASSISTANT |
| Phone | 8635105960 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17074 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hardin, Jr. Benjamin WEsq. | Agent | 1905 Bartow Road, Lakeland, FL, 33801 |
| Name | Role | Address |
|---|---|---|
| DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SE | Manager | 1707 W REYNOLDS STREET, PLANT CITY, FL, 33563 |
| 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 | 315 WEST BUSCH BOULEVARD, SUITE A, TAMPA, FL 33612 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-28 | 315 WEST BUSCH BOULEVARD, SUITE A, TAMPA, FL 33612 | 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 |
| LC AMENDMENT AND NAME CHANGE | 2012-01-19 | DENTAL ASSOCIATES OF TAMPA, PLLC | No data |
| LC AMENDMENT AND NAME CHANGE | 2011-09-15 | ORAL SURGERY & IMPLANTS OF FLORIDA, PLLC | 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 |
| LC Amendment and Name Change | 2012-01-19 |
| LC Amendment and Name Change | 2011-09-15 |
| Florida Limited Liability | 2011-07-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
