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RICHARD MANCUSO DMD PLLC - Florida Company Profile

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Company Details

Entity Name: RICHARD MANCUSO DMD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Sep 2015 (10 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 13 Feb 2017 (9 years ago)
Document Number: L15000161786
FEI/EIN Number 47-5172531
Address: 4536 W VILLAGE DRIVE, TAMPA, FL, 33624, US
Mail Address: 4536 W VILLAGE DRIVE, TAMPA, FL, 33624, US
ZIP code: 33624
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MANCUSO RICHARD Manager 4536 W VILLAGE DR, TAMPA, FL, 33624
- Agent -

National Provider Identifier

NPI Number:
1720531528

Authorized Person:

Name:
DR. RICHARD MANCUSO
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000140287 CARROLLWOOD VILLAGE DENTAL ACTIVE 2023-11-16 2028-12-31 - 4536 W VILLAGE DRIVE, TAMPA, FL, 33624

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-02-17 4929 SW 74TH CT, MIAMI, FL 33155 -
CHANGE OF PRINCIPAL ADDRESS 2018-02-12 4536 W VILLAGE DRIVE, TAMPA, FL 33624 -
CHANGE OF MAILING ADDRESS 2018-02-12 4536 W VILLAGE DRIVE, TAMPA, FL 33624 -
REGISTERED AGENT NAME CHANGED 2018-02-12 THE LAW OFFICES OF MAX A ADAMS ESQ PLLC -
LC AMENDMENT 2017-02-13 - -

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-03-03
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-02-12
LC Amendment 2017-02-13
ANNUAL REPORT 2017-02-10

USAspending Awards / Financial Assistance

Date:
2021-01-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
53321.00
Total Face Value Of Loan:
53321.00
Date:
2020-05-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
60000.00
Total Face Value Of Loan:
60000.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
46215.00
Total Face Value Of Loan:
46215.00

Trademarks

Serial Number:
90579548
Mark:
CARROLLWOOD VILLAGE DENTAL
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2021-03-16
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
CARROLLWOOD VILLAGE DENTAL

Goods And Services

For:
Dental care services; Dentist services; Oral surgery and dental implant services
First Use:
1995-01-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$46,215
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,215
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,524.01
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $46,215
Jobs Reported:
5
Initial Approval Amount:
$53,321
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,321
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$53,633.52
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $53,321

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Date of last update: 02 Aug 2025

Sources: Florida Department of State