| Entity Name: | SLEEPY HILLS DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Mar 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000038898 |
| Address: | 4145 US HIGHWAY 98 N, LAKELAND, FL, 33809 |
| Mail Address: | 2801 ST JOHNS BLUFF ROAD, SOUTH, SUITE FOUR, JACKSONVILLE, FL, 32246 |
| ZIP code: | 33809 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649663139 | 2015-03-09 | 2015-03-09 | 3545 ST. JOHNS BLUFF RD. S., SUITE 352, JACKSONVILLE, FL, 32224, US | 4145 US HIGHWAY 98 N, LAKELAND, FL, 338093830, US | |||||||||||||||||
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| Phone | +1 904-998-7000 |
| Fax | 9049987702 |
| Phone | +1 863-858-3891 |
Authorized person
| Name | CRYSTAL L LESS |
| Role | VP OF OPERATIONS |
| Phone | 9049987000 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LIVELLO WEST, PA | Agent | 2801 ST JOHNS BLUFF ROAD, SOUTH, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| LIVELLO WEST, PA | Manager | 2801 ST JOHNS BLUFF ROAD, SOUTH, STE 4, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
