| Entity Name: | DENTAL ASSOCIATES OF BROOKSVILLE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jun 2014 (11 years ago) |
| Document Number: | L14000097682 |
| FEI/EIN Number | 47-1174719 |
| Mail Address: | 204 Summer Sails Dr, Valrico, FL, 33594, US |
| Address: | 401 HOWELL AVENUE, BROOKSVILLE, FL, 34601 |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477952356 | 2014-08-18 | 2014-08-18 | 401 HOWELL AVE, BROOKSVILLE, FL, 346012044, US | 401 HOWELL AVE, BROOKSVILLE, FL, 346012044, US | |||||||||||||||
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| Phone | +1 352-796-3931 |
| Fax | 3527962861 |
Authorized person
| Name | MRS. CRYSTAL BLEDSOE BARRON |
| Role | INSURANCE DIRECTOR |
| Phone | 3527962861 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mueller William A | Agent | 2432 W Sunset, Tampa, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| DENTAL ASSOCIATES OF FLORIDA MANAGEMENT SE | Manager | 1707 W REYNOLDS STREET, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-21 | 401 HOWELL AVENUE, BROOKSVILLE, FL 34601 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-07 | Mueller, William A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-07 | 2432 W Sunset, Tampa, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
