| Entity Name: | AKEL DENTAL OF TAMPA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2015 (10 years ago) |
| Document Number: | L15000114139 |
| FEI/EIN Number | 47-4404518 |
| Mail Address: | 5445 COMMERCIAL WAY, SPRING HILL, FL, 34606 |
| Address: | 2727 W.MARTIN LUTHER KING BLVD, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427429828 | 2015-10-12 | 2015-10-12 | 2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 120, TAMPA, FL, 336076383, US | 2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 120, TAMPA, FL, 336076383, US | |||||||||||||||||||||||||
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| Phone | +1 813-873-9100 |
| Fax | 8138739176 |
Authorized person
| Name | DR. AMIR AKEL |
| Role | GENERAL DENTIST |
| Phone | 8138739100 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN18012 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002559000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AKEL AMIR | Agent | 5445 COMMERCIAL WAY, SPRING HILL, FL, 34606 |
| Name | Role | Address |
|---|---|---|
| AKEL AMIR | Managing Member | 5445 COMMERCIAL WAY, SPRING HILL, FL, 34606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-14 | 5445 COMMERCIAL WAY, SPRING HILL, FL 34606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-28 | 2727 W.MARTIN LUTHER KING BLVD, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-15 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-28 |
| Florida Limited Liability | 2015-07-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
