| Entity Name: | DE LUCIA FAMILY DENTAL, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2011 (14 years ago) |
| Document Number: | L11000079553 |
| FEI/EIN Number | 452714945 |
| Mail Address: | 6255 41ST AVE N, SAINT PETERSBURG, FL, 33709 |
| Address: | 6700 CROSSWINDS DRIVE, SUITE 300C, SAINT PETERSBURG, FL, 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932468675 | 2012-05-15 | 2012-05-15 | 6700 CROSSWINDS DR N, SUITE 300 C, SAINT PETERSBURG, FL, 337108602, US | 6700 CROSSWINDS DR N, SUITE 300 C, SAINT PETERSBURG, FL, 337108602, US | |||||||||||||||||
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| Phone | +1 727-341-2422 |
Authorized person
| Name | DR. PING PING H DE LUCIA |
| Role | MANAGING MEMBER |
| Phone | 7272153963 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | DN18757 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE LUCIA PING PING | Agent | 6255 41ST AVE N, SAINT PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| DE LUCIA PING PING | Managing Member | 6255 41ST AVE N, SAINT PETERSBURG, FL, 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-18 | 6700 CROSSWINDS DRIVE, SUITE 300C, SAINT PETERSBURG, FL 33710 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-18 | 6700 CROSSWINDS DRIVE, SUITE 300C, SAINT PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-18 | 6255 41ST AVE N, SAINT PETERSBURG, FL 33709 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-01-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6474067708 | 2020-05-01 | 0455 | PPP | 6700 CROSSWINDS DR N STE 300C, SAINT PETERSBURG, FL, 33710-5482 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6545328403 | 2021-02-10 | 0455 | PPS | 6700 Crosswinds Dr N Ste 300C, Saint Petersburg, FL, 33710-5482 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
