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DENTAL ASSOCIATES OF CENTRAL BRANDON, PLLC

Company Details

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

National Provider Identifier

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

Contacts

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

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 2016-04-13 647 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

Documents

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