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RICHARD MANCUSO DMD PLLC - Florida Company Profile

Company Details

Entity Name: RICHARD MANCUSO DMD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

RICHARD MANCUSO DMD PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 23 Sep 2015 (9 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 13 Feb 2017 (8 years ago)
Document Number: L15000161786
FEI/EIN Number 47-5172531

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4536 W VILLAGE DRIVE, TAMPA, FL, 33624, US
Mail Address: 4536 W VILLAGE DRIVE, TAMPA, FL, 33624, US
ZIP code: 33624
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720531528 2016-07-27 2016-07-27 222 NW 48TH AVE, DEERFIELD BEACH, FL, 334429308, US 4536 W VILLAGE DR, TAMPA, FL, 336243429, US

Contacts

Phone +1 954-605-0865

Authorized person

Name DR. RICHARD MANCUSO
Role MANAGER
Phone 9546050865

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN20889
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
MANCUSO RICHARD Manager 4536 W VILLAGE DR, TAMPA, FL, 33624
THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC Agent -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8704788300 2021-01-29 0455 PPS 4536 W Village Dr, Tampa, FL, 33624-3429
Loan Status Date 2021-10-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53321
Loan Approval Amount (current) 53321
Undisbursed Amount 0
Franchise Name -
Lender Location ID 122043
Servicing Lender Name WebBank
Servicing Lender Address 215 S State St, Ste 1000, SALT LAKE CITY, UT, 84111-2336
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33624-3429
Project Congressional District FL-15
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 122043
Originating Lender Name WebBank
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53633.52
Forgiveness Paid Date 2021-09-02
1312457200 2020-04-15 0455 PPP 4536 W Village Dr, Tampa, FL, 33624
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46215
Loan Approval Amount (current) 46215
Undisbursed Amount 0
Franchise Name -
Lender Location ID 122043
Servicing Lender Name WebBank
Servicing Lender Address 215 S State St, Ste 1000, SALT LAKE CITY, UT, 84111-2336
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33624-1000
Project Congressional District FL-15
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 122043
Originating Lender Name WebBank
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46524.01
Forgiveness Paid Date 2021-02-12

Date of last update: 02 Mar 2025

Sources: Florida Department of State