| 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. |
| 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 |
| 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 | |||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| MANCUSO RICHARD | Manager | 4536 W VILLAGE DR, TAMPA, FL, 33624 |
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent | - |
| 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 |
| 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 | - | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8704788300 | 2021-01-29 | 0455 | PPS | 4536 W Village Dr, Tampa, FL, 33624-3429 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1312457200 | 2020-04-15 | 0455 | PPP | 4536 W Village Dr, Tampa, FL, 33624 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
