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PEDIATRIC DENTISTRY OF PORT CHARLOTTE, PLLC

Company Details

Entity Name: PEDIATRIC DENTISTRY OF PORT CHARLOTTE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Oct 2012 (12 years ago)
Document Number: L12000126421
FEI/EIN Number 46-1043966
Address: 3872 W. Tamiami Trl Unit D/E, Port Charlotte, FL, 33952, US
Mail Address: 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL, 34135
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235561515 2013-08-08 2013-08-08 3872 TAMIAMI TRL, UNITS D AND E, PORT CHARLOTTE, FL, 339528463, US 3872 TAMIAMI TRL, UNITS D AND E, PORT CHARLOTTE, FL, 339528463, US

Contacts

Phone +1 941-391-8090

Authorized person

Name MIGUEL ARGUMOSA
Role PEDIATRIC DENTIST/MEMBER
Phone 9413918090

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
Taylor Erin Agent 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL, 34135

Manager

Name Role Address
ARGUMOSA MIGUEL A Manager 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL, 34135
TAYLOR ERIN M Manager 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL, 34135
Vanderbosch Sarah Manager 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-04-02 3872 W. Tamiami Trl Unit D/E, Port Charlotte, FL 33952 No data
REGISTERED AGENT NAME CHANGED 2013-04-30 Taylor, Erin No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-30 9510 BONITA BEACH ROAD SE, SUITE 101, BONITA SPRINGS, FL 34135 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State