| Entity Name: | SMILE BRIGHT DENTAL CW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Apr 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: | L15000069395 |
| Address: | 8370 W HILLSBOROUGH AVE, 101, TAMPA, FL, 33615 |
| Mail Address: | 8370 W HILLSBOROUGH AVE, 101, TAMPA, FL, 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285012278 | 2015-05-11 | 2015-05-11 | 1237 S MISSOURI AVE, CLEARWATER, FL, 337569111, US | 1237 S MISSOURI AVE, CLEARWATER, FL, 337569111, US | |||||||||||||||||||
|
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| Phone | +1 727-443-7353 |
| Fax | 7274432144 |
Authorized person
| Name | DR. RAJIN PATEL |
| Role | DENTIST |
| Phone | 8138853900 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | DN14915 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL RAJIN CMD | Agent | 8370 W HILLSBOROUGH AVE, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| PATEL RAJIN CMD | Managing Member | 8370 W HILLSBOROUGH AVE 101, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
