| Entity Name: | SERGIO M. LOPEZ, D.D.S., P.L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SERGIO M. LOPEZ, D.D.S., P.L.L.C. 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: | 06 Jan 2014 (11 years ago) |
| Document Number: | L14000002394 |
| FEI/EIN Number |
81-2763103
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3102 West Waters Ave., TAMPA, FL, 33614, US |
| Mail Address: | 3102 West Waters Ave., TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083931729 | 2010-04-20 | 2016-07-18 | 3102 W WATERS AVE, SUITE 101, TAMPA, FL, 336142882, US | 3102 W WATERS AVE, SUITE 101, TAMPA, FL, 336142882, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-374-2441 |
| Fax | 8135132925 |
Authorized person
| Name | DR. SERGIO M. LOPEZ |
| Role | DENTIST |
| Phone | 3035135041 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 18229 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013389200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 44821026 |
| State | CO |
| Issuer | MEDICAID |
| Number | 007861100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ SERGIO M | Authorized Member | 3102 W Waters Ave, TAMPA, FL, 33614 |
| LOPEZ SERGIO M | Agent | 3102 W Waters Ave, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-12 | 3102 W Waters Ave, Ste 101, TAMPA, FL 33614 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-20 | 3102 West Waters Ave., Ste. 101, TAMPA, FL 33614 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-20 | 3102 West Waters Ave., Ste. 101, TAMPA, FL 33614 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-19 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-05 |
| ANNUAL REPORT | 2016-04-01 |
Date of last update: 02 May 2025
Sources: Florida Department of State
