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DENTAL ASSOCIATES OF NEW TAMPA PLLC

Company Details

Entity Name: DENTAL ASSOCIATES OF NEW TAMPA PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 19 Dec 2013 (11 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L13000174729
FEI/EIN Number 46-4347609
Mail Address: 1707 W REYNOLDS STREET, PLANT CITY, FL 33563
Address: 14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL 33613
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811311533 2014-02-17 2014-02-18 14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL, 336133906, US 14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL, 336133906, US

Contacts

Phone +1 813-977-6962
Fax 8139714872

Authorized person

Name MRS. CRYSTAL B BARRON
Role INSURANCE DIRECT SUPERVISOR
Phone 8139776962

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
Hardin, Jr., Benjamin W., Esq. Agent 1905 Bartow Road, Lakeland, FL 33801

Manager

Name Role
DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SERVICES CO., LLC Manager

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF MAILING ADDRESS 2016-04-13 14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL 33613 No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-28 14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL 33613 No data
REGISTERED AGENT NAME CHANGED 2015-04-28 Hardin, Jr., Benjamin W., Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-28 1905 Bartow Road, Lakeland, FL 33801 No data

Documents

Name Date
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-04-28
ANNUAL REPORT 2014-03-24
Florida Limited Liability 2013-12-19

Date of last update: 22 Jan 2025

Sources: Florida Department of State