| Entity Name: | MARK V. DAVIS, DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Oct 2011 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L11000112445 |
| FEI/EIN Number | 453504044 |
| Address: | 14010 ROOSEVELT BLVD., SUITE 704, CLEARWATER, FL, 33762 |
| Mail Address: | 1835 SOUTH KEENE RD., CLEARWATER, FL, 33756 |
| ZIP code: | 33762 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962751370 | 2012-08-30 | 2012-08-30 | 14010 ROOSEVELT BLVD STE 704, CLEARWATER, FL, 337623820, US | 14010 ROOSEVELT BLVD STE 704, CLEARWATER, FL, 337623820, US | |||||||||||||||||
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| Phone | +1 727-531-9363 |
Authorized person
| Name | DR. MARK DAVIS |
| Role | OFFICER |
| Phone | 7275319363 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4549 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRYANT ROBERT R | Agent | 2973 WEST STATE ROAD 434, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| DAVIS KAREN C | Manager | 1835 SOUTH KEENE RD., CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-22 | 14010 ROOSEVELT BLVD., SUITE 704, CLEARWATER, FL 33762 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-22 |
| Florida Limited Liability | 2011-10-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
