| Entity Name: | DENTAL SLEEP MEDICINE OF SOUTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Dec 2011 (13 years ago) |
| Date of dissolution: | 31 Jul 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Jul 2017 (8 years ago) |
| Document Number: | L11000140933 |
| FEI/EIN Number | 45-4092875 |
| Address: | 3001 DEL PRADO BLVD SOUTH, CAPE CORAL, FL, 33904 |
| Mail Address: | 3001 DEL PRADO BLVD SOUTH, CAPE CORAL, FL, 33904 |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902175771 | 2011-12-22 | 2011-12-22 | 3001 DEL PRADO BLVD S, CAPE CORAL, FL, 339047208, US | 3001 DEL PRADO BLVD S, CAPE CORAL, FL, 339047208, US | |||||||||||||||||||||||||
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| Phone | +1 239-549-8921 |
Authorized person
| Name | DR. MARK PHILLIP KRAVER |
| Role | OWNER/DENTIST |
| Phone | 2395498921 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 11408 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 19091 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| KRAVER, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KRAVER PHILLIP B | Managing Member | 904 SE 19TH TERRACE, CAPE CORAL, FL, 33990 |
| KRAVER MARK P | Managing Member | 1525 SW 58TH STREET, CAPE CORAL, FL, 33914 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-07-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-02-25 |
| Florida Limited Liability | 2011-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
