| Entity Name: | SKYLIGHT DENTAL CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SKYLIGHT DENTAL CARE, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 May 2013 (12 years ago) |
| Document Number: | L13000077151 |
| FEI/EIN Number |
46-3333895
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 117 N OAKWOOD AVE., BRANDON, FL, 33510, US |
| Mail Address: | 117 N OAKWOOD AVE., BRANDON, FL, 33510, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083099600 | 2015-07-24 | 2015-07-24 | 117 N. OAKWOOD AVENUE, BRANDON, FL, 33510, US | 117 N. OAKWOOD AVENUE, BRANDON, FL, 33510, US | |||||||||||||||||||||||||
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| Phone | +1 813-530-0991 |
| Fax | 8135300986 |
Authorized person
| Name | DR. LICETTE F ESPINAL |
| Role | GENERAL DENTIST |
| Phone | 8135300991 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN19212 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003256800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABREU EDWARD | Manager | 117 N OAKWOOD AVE., BRANDON, FL, 33510 |
| ESPINAL LICETTE F | Manager | 117 N OAKWOOD AVE., BRANDON, FL, 33510 |
| MUSIAL, JR. A.J. ESQ. | Agent | 1211 WEST FLETCHER AVE., TAMPA, FL, 336123363 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-28 | Weiner PA, Rory, ESQ. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-28 | 635 Lumsden Rd, Brandon, FL 33511 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-01 | 117 N OAKWOOD AVE., BRANDON, FL 33510 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-01 | 117 N OAKWOOD AVE., BRANDON, FL 33510 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-27 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4169427104 | 2020-04-13 | 0455 | PPP | 117 North Oakwood Avenue N/A, BRANDON, FL, 33510-4629 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4439828408 | 2021-02-06 | 0455 | PPS | 117 N Oakwood Ave, Brandon, FL, 33510-4629 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
