Entity Name: | DAB DENTAL PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Oct 2015 (9 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 01 Apr 2019 (6 years ago) |
Document Number: | L15000177159 |
FEI/EIN Number | 47-5390708 |
Address: | 14953 N Florida Ave, Tampa, FL, 33613, US |
Mail Address: | 14953 N Florida Ave, Tampa, FL, 33613, US |
ZIP code: | 33613 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154773653 | 2016-07-07 | 2016-07-07 | 3713 W WATROUS AVE, TAMPA, FL, 336295132, US | 14953 N FLORIDA AVE, TAMPA, FL, 336131612, US | |||||||||||||||||||
|
Phone | +1 786-252-5995 |
Phone | +1 813-269-9360 |
Authorized person
Name | DR. DAIRA M AVILA BARAKAT |
Role | DENTIST |
Phone | 7862525995 |
Taxonomy
Taxonomy Code | 122300000X - Dentist |
License Number | DN19318 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BARAKAT DAIRA | Agent | 14953 N Florida Ave, Tampa, FL, 33613 |
Name | Role | Address |
---|---|---|
BARAKAT DAIRA | Auth | 14953 N Florida Ave, Tampa, FL, 33613 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000116730 | SUNSHINE DENTISTRY | ACTIVE | 2016-10-26 | 2026-12-31 | No data | 14953 N FLORIDA AVE, TAMPA, FL, 33613 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2019-04-01 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-04-08 | 14953 N Florida Ave, Tampa, FL 33613 | No data |
CHANGE OF MAILING ADDRESS | 2018-04-08 | 14953 N Florida Ave, Tampa, FL 33613 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-04-08 | 14953 N Florida Ave, Tampa, FL 33613 | No data |
REGISTERED AGENT NAME CHANGED | 2016-10-22 | BARAKAT, DAIRA | No data |
REINSTATEMENT | 2016-10-22 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-17 |
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-01-31 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-01-13 |
LC Amendment | 2019-04-01 |
ANNUAL REPORT | 2019-02-08 |
ANNUAL REPORT | 2018-04-08 |
ANNUAL REPORT | 2017-01-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State