Entity Name: | DENTAL ASSOCIATES OF CENTRAL BRANDON, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 18 Jun 2014 (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: | L14000097673 |
FEI/EIN Number | 47-1171044 |
Address: | 647 WEST LUMSDEN ROAD, BRANDON, FL 33511 |
Mail Address: | 1707 W REYNOLDS STREET, PLANT CITY, FL 33563 |
ZIP code: | 33511 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760881585 | 2014-08-18 | 2014-08-18 | 647 W LUMSDEN RD, BRANDON, FL, 335115911, US | 647 W LUMSDEN RD, BRANDON, FL, 335115911, US | |||||||||||||||
|
Phone | +1 813-689-1811 |
Fax | 8136857574 |
Authorized person
Name | MRS. CRYSTAL BLEDSOE BARRON |
Role | INSURANCE DIRECTOR |
Phone | 8136891811 |
Taxonomy
Taxonomy Code | 122300000X - Dentist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Hardin, Jr., Benjamin W., Esq. | Agent | 1905 Bartow Road, Lakeland, FL 33801 |
Name | Role |
---|---|
DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SERVICES CO., LLC | Manager |
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 | 647 WEST LUMSDEN ROAD, BRANDON, FL 33511 | 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 |
Name | Date |
---|---|
ANNUAL REPORT | 2016-04-13 |
ANNUAL REPORT | 2015-04-28 |
Florida Limited Liability | 2014-06-18 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State